Individual provider Active NPI

Gwendolyn Frances Crawford, P.T.

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1720142193
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2151 Issued in KY
Practice address
11630 Commonwealth Dr
Louisville, KY 40299-2300
Phone
(502) 267-6292
Fax
(502) 267-6428
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 2151 KY Primary

Addresses

Primary practice location

11630 Commonwealth Dr
Louisville, KY 40299-2300

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcrawford6458@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000000 KY Practitioner - Physical Therapist in Private Practice 7113970328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omspt Holdings LLCGroup PAC ID 1850789066, 13 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2151KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omspt Holdings LLC Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Baptist Health Medical Group Inc Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Omspt Holdings LLC Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

1212 Bath Ave
Ste 350
Ashland, KY 41101

1051 Newtown Pike
#H
Lexington, KY 40511
Phone (859) 253-0076

10216 Taylorsville Rd
Ste 950
Louisville, KY 40299
Phone (502) 267-0209

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3303 Fern Valley Rd
Louisville, KY 40213
Phone (502) 964-4889

11630 Commonwealth Dr
Louisville, KY 40299
Phone (502) 267-6292

3303 Fern Valley Rd
#200
Louisville, KY 40213

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

2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689

2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1720142193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 COMMONWEALTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992300",
            "telephone_number": "502-267-6292",
            "fax_number": "502-267-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "GWENDOLYN",
        "middle_name": "FRANCES",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcrawford6458@bhkydirect.com",
            "affiliation": "N",
            "address_1": "11630 Commonwealth Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402992300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 3, 2020; 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.