Active NPI
Emanuel Mora, DPT
- Physical Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009222
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009222 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aptiva Health | Current | Accepting new patients | |
| Aptiva Health | Physical Therapist | Current | 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.
-
dba Aptiva Health LLC
- Durable Medical Equipment & Medical Supplies
- Elizabethtown, KY
- NPI 1326877952
-
dba Aptiva Health LLC
- Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1669967881
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Mt Washington, KY
- NPI 1942147111
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
- Spencer Moorman, CSW
- Tammy Moorman, LCSW
- Amy Christine Moots Perrine, OTR/L
- Carmelita Yvette Moppins, APRN, FNP-C
- Leonardo Cuni Mora Martinez
- Francis J. Morabito, ARNP
- Iosbani Alberto Morales Alberteris, M.D
- Yoandis Morales Martin, APRN
- Yoandra Minerva Morales Vignon, APRN
- Yennis Morales Zaldivar, FNP
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.