Individual provider Active NPI

Ellen E Schoenfeld, PT, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1639713456
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005758 Issued in KY
Practice address
10321 Champion Farms Dr
Louisville, KY 40241-6129
Phone
(502) 425-1716
Fax
(502) 425-2258
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 005758 KY Primary

Addresses

Primary practice location

10321 Champion Farms Dr
Louisville, KY 40241-6129

Mailing address

10321 Champion Farms Dr
Louisville, KY 40241-6129
Phone (502) 425-1716

Other practice location 1

4042 Dutchmans Ln
Louisville, KY 40207-4712
Phone (502) 899-9363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103002095 KY Practitioner - Physical Therapist in Private Practice 9638503345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab LouisvilleGroup PAC ID 4587981337, 71 clinicians

Practice addresses (Care Compare)

3052 Bardstown Rd
Louisville, KY 40205-3020
Phone (502) 454-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005758KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville Physical Therapist Current Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients

Locations

3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950

3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544

4042 Dutchmans Ln
Louisville, KY 40207
Phone (502) 899-9363

10321 Champion Farms Dr
Louisville, KY 40241
Phone (502) 425-1716

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1639713456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 CHAMPION FARMS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416129",
            "telephone_number": "502-425-1716",
            "fax_number": "502-425-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10321 CHAMPION FARMS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416129",
            "telephone_number": "502-425-1716",
            "fax_number": "502-425-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4042 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074712",
            "country_code": "US",
            "telephone_number": "502-899-9363",
            "fax_number": "502-899-9365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOENFELD",
        "first_name": "ELLEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005758",
            "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 Nov 5, 2019; 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.