Active NPI
Thomas Leo Mudd, PT, DPT
- Physical Therapist
- Bardstown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007461
- Practice address
- 875 Pennsylvania Ave Ste a
Bardstown, KY 40004-2529 - Phone
- (502) 349-6961
- NPI assigned
- Aug 1, 2018
- Last updated
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HVNAN0707355 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Orthopedic Rehabilitation, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Kentucky Orthopedic Rehabilitation LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | 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.
-
dba KORT Physical Therapy
- Physical Therapy Clinic/Center
- Murray, KY
- NPI 1942948294
Physical Therapist
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1609349018
Physical Therapist
-
dba KORT Physical Therapy
- Physical Therapy Clinic/Center
- Lebanon, KY
- NPI 1609972827
-
dba KORT Physical Therapy
- Physical Therapy Clinic/Center
- Richmond, KY
- NPI 1295477248
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1710442520
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
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.