NPIMap

Organization Active NPI

Ellis & Badenhausen Orthopaedics, PSC

  • Physical Therapist
  • Shepherdsville, KY
National Provider Identifier
1396559779
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC
Practice address
181 Highway 44 E Ste 4
Shepherdsville, KY 40165-6081
Phone
(502) 587-1236
Fax
(502) 587-0318
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Tashana M Preston, CPC
Title
Billing Director
Phone
(502) 587-1236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

181 Highway 44 E Ste 4
Shepherdsville, KY 40165-6081

Mailing address

PO Box 32486
Louisville, KY 40232-2486
Phone (502) 587-1236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000605 KY Part B Supplier - Clinic/Group Practice 9032104559 Receives reassigned benefits from 37 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, KY; Shepherdsville, KY

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ellis Badenhausen Ellis5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

181 Highway 44 E
Shepherdsvlle, KY 40165
Phone (502) 955-2020

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1396559779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32486",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402322486",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HIGHWAY 44 E STE 4",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656081",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "TASHANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "502-587-1236",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.