Katlyn Elizabeth O'Neill, DPT
Individual provider Active NPI Physical Therapist · Georgetown, IN
NPI 1629688353 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1629688353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05013820A (IN)
- Practice address
- 1050 Copperfield Dr
Georgetown, IN 47122-9075 - Phone
- (812) 951-1440
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
1050 Copperfield Dr
Georgetown, IN 47122-9075
Phone (812) 951-1440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200819003008 | IN | Practitioner - Physical Therapist in Private Practice | 7911323076 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013820A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients |
Locations
325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231
1050 Copperfield Dr
Georgetown, IN 47122
Phone (812) 651-1440
1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705
219 Clifty Dr
Madison, IN 47250
Phone (812) 265-8226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013820A | IN | Yes |
Addresses
Primary practice location
1050 Copperfield Dr
Georgetown, IN 47122-9075
Mailing address
8505 Tapestry Cir Unit 102
Louisville, KY 40222-8372
Phone (740) 285-3235
Other providers in Georgetown, IN
- Cynthia A McGlothlen
- Janet Miguel
- Rachel Rae Mumaw
- Tammy L. Murphy
- Alice Niehoff
- Peace for Life Counseling, LLC
- Michael H Phelps
- Professional Surgical Assistants, Inc.
- Providence House
- Providence Self Sufficiency Ministries
All providers in Georgetown, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.