Active NPI
Leah Marie Fischer Baetz, PT, DPT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1366997462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007524
- Practice address
- 13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984 - Phone
- (502) 244-1210
- NPI assigned
- Aug 18, 2016
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2016027248 | MO | |
| Physical Therapist | 225100000X | 007524 | KY | Primary |
Addresses
Primary practice location
13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Mailing address
13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Phone (502) 244-1210
Other practice location 1
4124 Shelbyville Rd Ste 7
Louisville, KY 40207-3234
Phone (502) 893-1380
Other practice location 2
1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone (937) 428-6273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100567310 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007524 | KY | MD | Physical Therapist |
| 2016027248 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1366997462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13010 EASTGATE PARK WAY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233984",
"telephone_number": "502-244-1210",
"fax_number": "502-244-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13010 EASTGATE PARK WAY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233984",
"telephone_number": "502-244-1210"
}
],
"practiceLocations": [
{
"address_1": "4124 Shelbyville Rd Ste 7",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402073234",
"country_code": "US",
"telephone_number": "502-893-1380",
"fax_number": "502-893-1773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Thomas Paine Pkwy",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454592541",
"country_code": "US",
"telephone_number": "937-428-6273",
"fax_number": "937-428-6274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAETZ",
"first_name": "LEAH",
"middle_name": "MARIE FISCHER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2016027248",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100567310",
"state": "KY"
}
],
"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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.