Individual provider Active NPI

Kathrine Wilson, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1588029755
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006762 Issued in KY
Practice address
6511 Bardstown Rd
Louisville, KY 40291-3042
Phone
(502) 795-1770
NPI assigned
Dec 15, 2015
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 006762 KY Primary

Addresses

Primary practice location

6511 Bardstown Rd
Louisville, KY 40291-3042

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160106001554 KY Practitioner - Physical Therapist in Private Practice 7618279795 Reassigns benefits to 2 organizations
I20160127002081 IN Practitioner - Physical Therapist in Private Practice 7618279795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

6511 Bardstown Rd
Louisville, KY 40291-3042
Phone (502) 795-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006762KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1370 Veterans Pkwy
Ste 1100
Clarksville, IN 47129
Phone (812) 727-6053

2206 State St
Ste 300
New Albany, IN 47150
Phone (812) 206-0000

630 Euclid Ave
Ste 140
Lexington, KY 40502
Phone (859) 303-9980

6511 Bardstown Rd
Louisville, KY 40291
Phone (502) 795-1770

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

805 Blankenbaker Pkwy
Ste 107
Louisville, KY 40243
Phone (502) 253-0833

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1588029755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913042",
            "telephone_number": "502-795-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006762",
            "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 Apr 24, 2025; 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.