Nikki Kris Minyard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008482 Issued in KY

Practice address

9880 Angies Way Ste 100
Louisville, KY 40241-2851

Phone

(502) 339-6490

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nikki Kris Malon Maape Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1710442520
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD
• South Side Medical Group LTD.

  • Specialist
  • Chicago, IL
  • NPI 1427288273
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1407451594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412851",
            "telephone_number": "502-339-6490",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412851",
            "telephone_number": "502-339-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINYARD",
        "first_name": "NIKKI",
        "middle_name": "KRIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI KRIS",
            "last_name": "MAAPE",
            "middle_name": "MALON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie D. Minteer, LMFT
• Alice E Minter-Sauer, MD
• Beth Anne Minton, OD
• Minuteclinic Diagnostic of Kentucky LLC
• Minuteclinic Diagnostic of Kentucky LLC
• Season Lanee' Minzenberger, BACHELORS DEGREE
• Nora Miodrag, DPT
• Kashif Ali Shaz Mir, M.D.
• Yusmel Mirabal, PA-C
• Miracle Massage and Therapy Center Corp

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.