Individual provider Active NPI

Emily Rosenberg, PT

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1598810020
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
489641 Issued in KY
Practice address
5129 Dixie Hwy
Ste 301
Louisville, KY 40216-1727
Phone
(502) 587-1236
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 489641 KY Primary

Addresses

Primary practice location

5129 Dixie Hwy
Ste 301
Louisville, KY 40216-1727

Mailing address

5120 Dixie Hwy
Ste 103
Louisville, KY 40216-1702
Phone (502) 587-1236

Other identifiers 1

IdentifierTypeStateIssuer
489641OtherKYSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000303 KY Practitioner - Physical Therapist in Private Practice 1759480841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5120 Dixie Hwy
Suite 103
Louisville, KY 40216-1775
Phone (502) 449-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
489641KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC Physical Medicine & Rehabilitation Current Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Feb 2, 2007 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Feb 2, 2007 Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Past Accepting new patients

Locations

5120 Dixie Hwy
Ste 102
Louisville, KY 40216
Phone (502) 448-0931

5120 Dixie Hwy
Ste 103
Louisville, KY 40216
Phone (502) 449-0449

13151 Magisterial Dr
Ste 100
Louisville, KY 40223
Phone (502) 585-4571

13151 Magisterial Dr
#200
Louisville, KY 40223

6768 Bardstown Rd
Louisville, KY 40291
Phone (502) 242-7770

145 Thierman Ln
Louisville, KY 40207
Phone (502) 242-8444

5129 Dixie Hwy
Ste 301
Louisville, KY 40216
Phone (502) 449-0449

181 Highway 44 E
Ste 4
Shepherdsvlle, KY 40165
Phone (502) 779-3002

Interoperability endpoints

  • Direct secure messaging: emily.rosenberg@eandbortho.directbygreenway.com

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1598810020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY",
            "address_2": "STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-587-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "EMILY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "489641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "489641",
            "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 Dec 13, 2013; 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.