Individual provider Active NPI

James J Rothbauer, PT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1457394355
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002994 Issued in KY
Practice address
1868 Plaudit PL Ste B
Lexington, KY 40509
Phone
(502) 426-2221
Fax
(502) 426-2210
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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 PT002994 KY Primary

Addresses

Primary practice location

1868 Plaudit PL Ste B
Lexington, KY 40509

Mailing address

1868 Plaudit PL Ste B
Lexington, KY 40509-2429
Phone (859) 264-0512

Other identifiers 1

IdentifierTypeStateIssuer
87001392MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000272 KY Practitioner - Physical Therapist in Private Practice 0749182111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osptky LLCGroup PAC ID 6507132107, 30 clinicians

Practice addresses (Care Compare)

1868 Plaudit PL
Suite B
Lexington, KY 40509-2429
Phone (859) 264-0512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002994KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osptky LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Osptky LLC Past Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients

Locations

1868 Plaudit Pl
Ste B
Lexington, KY 40509
Phone (859) 264-0512

11330 Maple Brook Dr
Louisville, KY 40241
Phone (502) 412-5552

460 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 887-0599

171 N Keeneland Dr
Richmond, KY 40475
Phone (859) 575-1888

132 Frontier Blvd
Ste 106
Stanford, KY 40484
Phone (606) 257-0005

Organizations & group practices 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1457394355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092429",
            "telephone_number": "859-264-0512",
            "fax_number": "859-264-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "502-426-2221",
            "fax_number": "502-426-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBAUER",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT002994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001392",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.