Individual provider Active NPI

Michael Andrew Fauser

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1356864706
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3630 Brownsboro Rd
Louisville, KY 40207-1861
Phone
(502) 749-6950
Fax
(502) 749-6953
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3630 Brownsboro Rd
Louisville, KY 40207-1861

Mailing address

175 S English Station Rd Ste 218
Louisville, KY 40245-4199
Phone (502) 882-9379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170817002545 KY Practitioner - Physical Therapist in Private Practice 1355613837 Reassigns benefits to 1 organization
I20171103002466 IN Practitioner - Physical Therapist in Private Practice 1355613837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab LouisvilleGroup PAC ID 4587981337, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

3630 Brownsboro Rd
Louisville, KY 40207-1861
Phone (502) 749-6950

5170 Charlestown Rd
Suite 102
New Albany, IN 47150-8400
Phone (812) 590-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville Physical Therapist Current Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Jul 26, 2017 Accepting new patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Jul 26, 2017 Accepting new patients

Locations

1440 Veterans Pkwy
Ste 400
Clarksville, IN 47129
Phone (812) 924-5010

5170 Charlestown Rd
Ste 102
New Albany, IN 47150
Phone (812) 590-8888

1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280

3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950

170 Dr Arla Way
Ste 102
Louisville, KY 40229
Phone (502) 897-7300

3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1356864706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S ENGLISH STATION RD STE 218",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454199",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071861",
            "telephone_number": "502-749-6950",
            "fax_number": "502-749-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSER",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.