Nicholas A Mastoroudis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009214 Issued in KY

Practice address

170 Dr Arla Way Ste 102
Louisville, KY 40229-5427

Phone

(502) 955-1081

Fax

(502) 955-1091

NPI assigned

Nov 7, 2024

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 IN, KY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prorehab LouisvilleGroup PAC ID 4587981337, shared by 5 NPIs, 71 clinicians

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prorehab Louisville

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1700282589

  IN, Physical Therapist

  Medicare reassignment NPD
• Prorehab Louisville

  • Physical Therapist
  • Crestwood, KY
  • NPI 1982473880
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Prorehab of Louisville, LLC

  • Physical Therapy Clinic/Center
  • Prospect, KY
  • NPI 1053797829
  NPD
• Prorehab Louisville, LLC

  • Physical Therapy Clinic/Center
  • Scottsburg, IN
  • NPI 1053161349

  Physical Therapist

  NPD
• Prorehab Louisville, LLC

  • Physical Therapy Clinic/Center
  • Jeffersonville, IN
  • NPI 1841965126
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1760205702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039",
            "fax_number": "210-978-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-955-1081",
            "fax_number": "502-955-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOROUDIS",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara S Masterson-Beaven, LCSW
• Kaitlin Rashelle Masterson, PA
• Lauren Miller Masterson, APRN
• Shannon Marie Masterson, OTR/L
• Masterson'S Food & Drink
• Jaclyn Masucci
• Mat Prac Group, LLC
• Kelly Matakovic, OTD, OTR/L
• Christian Matar
• Scott Matash, OTRL

• 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 7, 2024; 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.