Individual provider Active NPI

Emanuel Mora, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1437973963
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009222 Issued in KY
Practice address
3615 Newburg Rd
Louisville, KY 40218-3368
Phone
(502) 909-0772
Fax
(855) 859-0123
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 009222 KY Primary

Addresses

Primary practice location

3615 Newburg Rd
Louisville, KY 40218-3368

Mailing address

12300 Plantside Dr
Louisville, KY 40299-6345
Phone (502) 909-0772

Other practice location 1

10100 Linn Station Rd Ste 1A
Louisville, KY 40223-3861
Phone (502) 909-0772

Other practice location 2

300 S 13th St
Louisville, KY 40203-1778
Phone (502) 909-0772

Other practice location 3

230 Fountain Ct Ste 140
Lexington, KY 40509-1896
Phone (502) 909-0772

Other practice location 4

401 N English Station Rd
Louisville, KY 40223-3913
Phone (502) 909-0772

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

LicenseStateTypeSpecialty
009222KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aptiva Health CurrentSince Nov 1, 2024 Accepting new patients
Aptiva Health Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Aptiva Health Past Accepting new patients

Locations

529 Westport Rd
Ste 2
Elizabethtown, KY 42701

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

230 Fountain Ct
Ste 140
Lexington, KY 40509
Phone (859) 592-1008

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

12300 Plantside Dr
Louisville, KY 40299

300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011

3611 Newburg Rd
Louisville, KY 40218

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

401 N English Station Rd
Louisville, KY 40223

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, 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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1437973963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996345",
            "telephone_number": "502-909-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 Linn Station Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233861",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402031778",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Fountain Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091896",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N English Station Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233913",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "EMANUEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009222",
            "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 Nov 12, 2024; 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.