Individual provider Active NPI

Mariam Haydon Dones, PT, DPT

  • Physical Therapist
  • Bardstown, KY
National Provider Identifier
1447073523
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009202 Issued in KY
Practice address
875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone
(502) 349-6961
Fax
(502) 348-1789
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 009202 KY Primary

Addresses

Primary practice location

875 Pennsylvania Ave
Bardstown, KY 40004-2529

Mailing address

875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone (502) 349-6961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317003539 KY Practitioner - Physical Therapist in Private Practice 3678057791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12613 Taylorsville Rd
Suite 118
Louisville, KY 40299-5496

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009202KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Mar 10, 2026 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Mar 10, 2026 Accepting new patients

Locations

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272

1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1447073523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PENNSYLVANIA AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042529",
            "telephone_number": "502-349-6961",
            "fax_number": "502-348-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PENNSYLVANIA AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042529",
            "telephone_number": "502-349-6961",
            "fax_number": "502-348-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDON DONES",
        "first_name": "MARIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.