Individual provider Active NPI

Heather Royal Rueff, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1659051639
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10321 Champion Farms Dr
Louisville, KY 40241-6129
Phone
(502) 425-1716
Fax
(502) 425-2258
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 Primary

Addresses

Primary practice location

10321 Champion Farms Dr
Louisville, KY 40241-6129

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230919001086 KY Practitioner - Physical Therapist in Private Practice 1951765338 Reassigns benefits to 1 organization
I20241223002488 IN Practitioner - Physical Therapist in Private Practice 1951765338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab LouisvilleGroup PAC ID 4587981337, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

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

1611 W McClain Ave
Suite 1611
Scottsburg, IN 47170-1161
Phone (812) 414-2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008855KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients
Prorehab of Louisville, LLC CurrentSince Aug 2, 2023 Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Prorehab Louisville Physical Therapist Current Accepting new patients

Locations

1440 Veterans Pkwy
Ste 400
Clarksville, IN 47129
Phone (812) 924-5010

5170 Charlestown Rd
Ste 102
New Albany, IN 47150
Phone (812) 590-8888

1611 W McClain Ave
Ste 1611
Scottsburg, IN 47170
Phone (812) 414-2570

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

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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

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

Organizations & group practices 4

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1659051639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-882-9379",
            "fax_number": "502-587-5728"
        },
        {
            "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": [],
    "basic": {
        "last_name": "RUEFF",
        "first_name": "HEATHER",
        "middle_name": "ROYAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jul 24, 2023; 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.