Robert A Cecil Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006175 Issued in KY

Practice address

5120 Dixie Hwy
Suite 103
Louisville, KY 40216-1702

Phone

(502) 587-1236

Fax

(502) 587-0318

NPI assigned

Jan 11, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellis and Badenhausen Orthopaedics, PSCGroup PAC ID 9032104559, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.cecil@eandbortho.directbygreenway.com

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.

• Ellis & Badenhausen Orthopaedics, PSC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1346356284
  Medicare reassignment Care Compare group NPD
• Ellis & Badenhausen Orthopaedics, PSC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1639896277
  NPD
• Ellis & Badenhausen Orthopaedics,PSC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1881702546
  NPD

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1750628632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Cecil, APRN, FNP-C
• Mary Thompson Cecil, PT,CHT
• Michael H Cecil, PSYD, HSPP
• Michelle Cecil
• Nathanial Cecil, PHARMD
• Cedar Lake Lodge, Inc.
• Cedar Lake Lodge/Sycamore Run
• Cedar Lake Rehabilitation Services
• Cedar Lake Residences, Inc.
• Cedar Lake Residences, Inc.

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.