Individual provider Active NPI

Kevin Reichmuth, PT

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1598871485
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
003111 Issued in KY
Practice address
5120 Dixie Hwy
Suite 103
Louisville, KY 40216-1702
Phone
(502) 587-1236
Fax
(502) 587-0318
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 003111 KY Primary

Addresses

Primary practice location

5120 Dixie Hwy
Suite 103
Louisville, KY 40216-1702

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
003111OtherKYSTATE ID

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120125000733 KY Practitioner - Physical Therapist in Private Practice 9032386487 Reassigns benefits to 1 organization
I20230615001951 IN Practitioner - Physical Therapist in Private Practice 9032386487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis and Badenhausen Orthopaedics, PSCGroup PAC ID 9032104559, 37 clinicians

Practice addresses (Care Compare)

3605 Northgate CT
Suite 214
New Albany, IN 47150-6422
Phone (812) 321-6321

5120 Dixie Hwy
Suite 102
Louisville, KY 40216-1775
Phone 50258712364222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
003111KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC Physical Medicine & Rehabilitation Current Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Jun 12, 2000 Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Past Accepting new patients

Locations

3605 Northgate Ct
Ste 214
New Albany, IN 47150
Phone (502) 495-3665

3605 Northgate Ct
Ste 212
New Albany, IN 47150

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

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

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

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

13151 Magisterial Dr
#200
Louisville, KY 40223

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

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

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

Interoperability endpoints

  • Direct secure messaging: kevin.reichmuth@eandbortho.directbygreenway.com

Organizations & group practices 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1598871485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHMUTH",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "003111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "003111",
            "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 Jul 29, 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.