Individual provider Active NPI

Kelli Michelle Bisig, PT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1427637586
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001853 Issued in KY
Practice address
2401 Terra Crossing Blvd Ste 204
Louisville, KY 40245-5395
Phone
(502) 210-4500
Fax
(502) 210-4505
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 001853 KY Primary

Addresses

Primary practice location

2401 Terra Crossing Blvd Ste 204
Louisville, KY 40245-5395

Mailing address

2401 Terra Crossing Blvd Ste 204
Louisville, KY 40245-5395
Phone (502) 210-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kelli.bisig@uoflhealth.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001853KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uofl Health-Louisville Inc PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1427637586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TERRA CROSSING BLVD STE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455395",
            "telephone_number": "502-210-4500",
            "fax_number": "502-210-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TERRA CROSSING BLVD STE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455395",
            "telephone_number": "502-210-4500",
            "fax_number": "502-210-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIG",
        "first_name": "KELLI",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kelli.bisig@uoflhealth.org",
            "affiliation": "N",
            "address_1": "2401 Terra Crossing Blvd Ste 204",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402455395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.