Individual provider Active NPI

Etta Rosati, PT, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1700158649
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006008 Issued in KY
Practice address
6008 Brownsboro Park Blvd
Ste C
Louisville, KY 40207-1295
Phone
(502) 899-4760
Fax
(502) 899-4719
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 006008 KY Primary

Addresses

Primary practice location

6008 Brownsboro Park Blvd
Ste C
Louisville, KY 40207-1295

Mailing address

6008 Brownsboro Park Blvd
Suite C
Louisville, KY 40207-1295
Phone (502) 899-4760

Other names 1

  • Etta Spencer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216001952 KY Practitioner - Physical Therapist in Private Practice 8325206253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006008KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Jan 15, 2023 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC Physical Therapist CurrentSince Jan 15, 2023 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC Current Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Past Accepting new patients

Locations

5120 Dixie Hwy
Ste 102
Louisville, KY 40216
Phone (502) 448-0931

5120 Dixie Hwy
Ste 103
Louisville, KY 40216
Phone (502) 449-0449

145 Thierman Ln
Louisville, KY 40207
Phone (502) 242-8444

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

6768 Bardstown Rd
Louisville, KY 40291
Phone (502) 242-7770

13151 Magisterial Dr
#200
Louisville, KY 40223

181 Highway 44 E
Ste 4
Shepherdsvlle, KY 40165
Phone (502) 779-3002

Interoperability endpoints

  • Direct secure messaging: etta.rosati@eandbortho.directbygreenway.com

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1700158649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 BROWNSBORO PARK BLVD",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071295",
            "telephone_number": "502-899-4760",
            "fax_number": "502-899-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 BROWNSBORO PARK BLVD",
            "address_2": "STE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071295",
            "telephone_number": "502-899-4760",
            "fax_number": "502-899-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSATI",
        "first_name": "ETTA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETTA",
            "last_name": "SPENCER",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.