Individual provider Active NPI

Whelan Kassteel Disney, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1730073156
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775
Phone
(502) 587-1236
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 NU Primary

Addresses

Primary practice location

5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775

Mailing address

5923 Battle Training Rd
Elizabethtown, KY 42701-6103
Phone (270) 505-2010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630001886 KY Practitioner - Physical Therapist in Private Practice 7810400223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5120 Dixie Hwy
Suite 102
Louisville, KY 40216-1775
Phone 50258712364222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Jun 9, 2025 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Jun 9, 2025 Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Past Accepting new patients

Locations

13151 Magisterial Dr
#200
Louisville, KY 40223

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1730073156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 BATTLE TRAINING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016103",
            "telephone_number": "270-505-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161775",
            "telephone_number": "502-587-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "WHELAN",
        "middle_name": "KASSTEEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "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 Jun 9, 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.

Verify at the official NPI Registry.