Active NPI
Gordon Crouch, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1609440650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005859
- Practice address
- 4801 Olympia Park PLZ Ste 1600
Louisville, KY 40241-2095 - Phone
- (502) 426-3353
- Fax
- (502) 426-4122
- NPI assigned
- May 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005859 | KY | Primary |
Addresses
Primary practice location
4801 Olympia Park PLZ Ste 1600
Louisville, KY 40241-2095
Mailing address
4801 Olympia Park PLZ Ste 1600
Louisville, KY 40241-2095
Phone (502) 426-3353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005859 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1609440650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 OLYMPIA PARK PLZ STE 1600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412095",
"telephone_number": "502-426-3353",
"fax_number": "502-426-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 OLYMPIA PARK PLZ STE 1600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412095",
"telephone_number": "502-426-3353",
"fax_number": "502-426-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "GORDON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005859",
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.