Active NPI
Amy M Drury, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1457635997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002571
- Practice address
- 4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713 - Phone
- (502) 897-1794
- Fax
- (502) 897-3852
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05004181A | IN | |
| Physical Therapist | 225100000X | 002571 | KY | Primary |
Addresses
Primary practice location
4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713
Mailing address
4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713
Phone (502) 897-1794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201056860 | Medicaid | IN | |
| 7100192570 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120204000028 | KY | Practitioner - Physical Therapist in Private Practice | 8022275932 | |
| I20181205002831 | IN | Practitioner - Physical Therapist in Private Practice | 8022275932 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Indiana Medical College, School of Medicine of Purdue University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 S Highland St
Winchester, KY 40391-2003
4130 Dutchmans LN
Suite 101
Louisville, KY 40207-4708
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05004181A | IN | MD | Physical Therapist |
Interoperability endpoints
- amy.drury.1@25506.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1457635997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074713",
"telephone_number": "502-897-1794",
"fax_number": "502-897-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074713",
"telephone_number": "502-897-1794",
"fax_number": "502-897-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRURY",
"first_name": "AMY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05004181A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "002571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201056860",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100192570",
"state": "KY"
}
],
"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 26, 2017; 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.