Individual provider Active NPI

Thomas Leo Mudd, PT, DPT

  • Physical Therapist
  • Bardstown, KY
National Provider Identifier
1801374897
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007461 Issued in KY
Practice address
875 Pennsylvania Ave Ste a
Bardstown, KY 40004-2529
Phone
(502) 349-6961
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 007461 KY Primary

Addresses

Primary practice location

875 Pennsylvania Ave Ste a
Bardstown, KY 40004-2529

Mailing address

608 Briar Cliff Ave
Bardstown, KY 40004-8941
Phone (502) 460-3868

Other identifiers 1

IdentifierTypeStateIssuer
HVNAN0707355OtherANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531002029 KY Practitioner - Physical Therapist in Private Practice 0648503904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
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)

113 Central Shopping Ctr
Campbellsville, KY 42718-1857
Phone (270) 469-1076

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Aug 18, 2025 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation LLC CurrentSince Aug 18, 2025 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients

Locations

875 Pennsylvania Ave
#A
Bardstown, KY 40004
Phone (502) 349-6961

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

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

708 Westport Rd
Elizabethtown, KY 42701
Phone (207) 766-1213

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

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

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

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1801374897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BRIAR CLIFF AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048941",
            "telephone_number": "502-460-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PENNSYLVANIA AVE STE A",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042529",
            "telephone_number": "502-349-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "THOMAS",
        "middle_name": "LEO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "HVNAN0707355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.