Active NPI
Laura Wilson, DPT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1699637959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007389
- Practice address
- 4420 Dixie Hwy Ste 122
Louisville, KY 40216-2986 - Phone
- (502) 447-2750
- NPI assigned
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007389 | KY | Primary |
Addresses
Primary practice location
4420 Dixie Hwy Ste 122
Louisville, KY 40216-2986
Mailing address
9202 Sissone Dr
Fairdale, KY 40118-9201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4420 Dixie Hwy
Suite 122
Louisville, KY 40216-2986
Phone (502) 447-2750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007389 | KY | 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 |
Locations
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750
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.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1609349018
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295208734
-
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1699637959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9202 SISSONE DR",
"city": "FAIRDALE",
"state": "KY",
"postal_code": "401189201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 DIXIE HWY STE 122",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402162986",
"telephone_number": "502-447-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007389",
"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 25, 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.