Individual provider Active NPI

Colleen R Ball, PT

  • Physical Therapist
  • Campbellsville, KY
National Provider Identifier
1790713006
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001335 Issued in KY
Practice address
315 E Broadway St
Campbellsville, KY 42718-2052
Phone
(270) 469-1076
NPI assigned
Jun 28, 2006
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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 001335 KY Primary

Addresses

Primary practice location

315 E Broadway St
Campbellsville, KY 42718-2052

Mailing address

315 E Broadway St
Campbellsville, KY 42718-2052
Phone (270) 469-1076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000429 KY Practitioner - Physical Therapist in Private Practice 2860495355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

190 Shadowmeade LN
Mt Washington, KY 40047-6277
Phone (502) 538-2332

210 E Gray St
Suite 807
Louisville, KY 40202-3927
Phone (502) 587-9350

930 Jamestown St
Columbia, KY 42728-1012
Phone (270) 751-8730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001335KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Dec 15, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist CurrentSince Dec 15, 2022 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

815 Hillcrest Dr
#C
Brandenburg, KY 40108
Phone (270) 422-3366

113 Central Shopping Ctr
Campbellsville, KY 42718
Phone (270) 469-1076

315 E Broadway St
Campbellsville, KY 42718
Phone (270) 469-1076

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

1911 Campbellsville Rd
Greensburg, KY 42743
Phone (270) 932-2221

703 E Main St
Unit 1
Lebanon, KY 40033
Phone (270) 699-9503

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

1126 Triplett St
Owensboro, KY 42303
Phone (270) 689-2008

229 Letton Dr
Paris, KY 40361
Phone (859) 340-1061

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724

431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272

100 E Depot St
Springfield, KY 40069
Phone (859) 336-9901

Organizations & group practices 6

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1790713006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182052",
            "telephone_number": "270-469-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182052",
            "telephone_number": "270-469-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "COLLEEN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.