Active NPI
Tudor Panta, OTR
- Neurorehabilitation Occupational Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 246560
- Practice address
- 1941 Bishop LN Ste 404
Louisville, KY 40218-1922 - Phone
- (502) 488-2753
- Fax
- (502) 308-4725
- NPI assigned
- Jan 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 246560 | KY | Primary |
| Occupational Therapist | 225X00000X | 246560 | KY | |
| Hand Occupational Therapist | 225XH1200X | 246560 | KY | |
| Hand Occupational Therapist | 225XH1200X | 31006869A | IN | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 31006869A | IN | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 31006869A | IN | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 246560 | KY | |
| Occupational Therapist | 225X00000X | 31006869A | IN |
Addresses
Primary practice location
1941 Bishop LN Ste 404
Louisville, KY 40218-1922
Mailing address
1941 Bishop LN Ste 404
Louisville, KY 40218-1922
Phone (502) 488-2753
Other practice location 1
3209 Laclede Ave
New Albany, IN 47150-2332
Phone (317) 658-2194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1941 Bishop LN
Suite 404
Louisville, KY 40218-1922
Phone (502) 488-2753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006869A | IN | MD | Neurorehabilitation Occupational Therapist |
| 246560 | KY | MD | Neurorehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge TX LLC | Neurorehabilitation | Current | Accepting new patients |
Locations
5534 Saint Joe Rd
Fort Wayne, IN 46835
Phone (423) 502-1508
1941 Bishop Ln
Ste 404
Louisville, KY 40218
Phone (502) 488-2753
225 N Clifton Ave
Ste 5
Louisville, KY 40206
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1679383046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 BISHOP LN STE 404",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181922",
"telephone_number": "502-488-2753",
"fax_number": "502-308-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 BISHOP LN STE 404",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181922",
"telephone_number": "502-488-2753",
"fax_number": "502-308-4725"
}
],
"practiceLocations": [
{
"address_1": "3209 Laclede Ave",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471502332",
"country_code": "US",
"telephone_number": "317-658-2194",
"fax_number": "502-308-4725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANTA",
"first_name": "TUDOR",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "KY",
"license": "246560",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "246560",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "KY",
"license": "246560",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IN",
"license": "31006869A",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IN",
"license": "31006869A",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "IN",
"license": "31006869A",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "KY",
"license": "246560",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006869A",
"primary": false
}
],
"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 12, 2025; 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.