Organization Active NPI

Premier Mobile Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Louisville, KY
National Provider Identifier
1447843909
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PREMIER MOBILE THERAPY, PLLC
Practice address
12218 Aiken Rd Ste 303
Louisville, KY 40223-4916
Phone
(502) 496-6214
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Mr. Keyon D. Thompson, PT, DPTNPI 1992037766
Title
Owner, Physical Therapist
Phone
(270) 307-2146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12218 Aiken Rd Ste 303
Louisville, KY 40223-4916

Mailing address

803 Reserve Ridge Dr
Louisville, KY 40245-4411
Phone (270) 307-2146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513002654 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193294742 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

12218 Aiken Rd
Ste 303
Louisville, KY 40223
Phone (502) 496-6214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1447843909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RESERVE RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454411",
            "telephone_number": "270-307-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 AIKEN RD STE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234916",
            "telephone_number": "502-496-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MOBILE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEYON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-307-2146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.