Individual provider Active NPI

Katherine Anne Chu, PT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1639662984
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017493 Issued in OH
Practice address
4121 Shelbyville Rd Ste 7
Louisville, KY 40207-3205
Phone
(502) 893-1380
NPI assigned
Jun 12, 2018
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017493 OH Primary

Addresses

Primary practice location

4121 Shelbyville Rd Ste 7
Louisville, KY 40207-3205

Mailing address

4121 Shelbyville Rd Ste 7
Louisville, KY 40207-3205
Phone (503) 893-1380

Other practice location 1

1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone (937) 428-6273

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

LicenseStateTypeSpecialty
PT017493OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Family Therapy Specialists Inc Physical Therapist PastSince Jul 19, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1639662984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SHELBYVILLE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073205",
            "telephone_number": "503-893-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 SHELBYVILLE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073205",
            "telephone_number": "502-893-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Thomas Paine Pkwy",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454592541",
            "country_code": "US",
            "telephone_number": "937-428-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017493",
            "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 Jan 21, 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.

Verify at the official NPI Registry.