Active NPI
Nicole Lynne Rossillo, PT, DPT
- Neurology Physical Therapist
- Louisville, KY
National Provider Identifier
1619327178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 006849
- Practice address
- 220 Abraham Flexner Way
Louisville, KY 40202-3826 - Phone
- (317) 319-4028
- NPI assigned
- Jun 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 006849 | KY | Primary |
Addresses
Primary practice location
220 Abraham Flexner Way
Louisville, KY 40202-3826
Mailing address
220 Abraham Flexner Way
Louisville, KY 40202-3826
Phone (317) 319-4028
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 |
|---|---|---|---|
| 006849 | KY | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1619327178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ABRAHAM FLEXNER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023826",
"telephone_number": "317-319-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ABRAHAM FLEXNER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023826",
"telephone_number": "317-319-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSILLO",
"first_name": "NICOLE",
"middle_name": "LYNNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "KY",
"license": "006849",
"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 Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.