Individual provider Active NPI

Jared Simpson, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1801413109
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3615 Newburg Rd
Louisville, KY 40218-3368
Phone
(029) 090-7725
Fax
(855) 859-0123
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 IN Primary

Addresses

Primary practice location

3615 Newburg Rd
Louisville, KY 40218-3368

Mailing address

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200814001675 KY Practitioner - Physical Therapist in Private Practice 4880010339 Reassigns benefits to 2 organizations
I20210222000972 IN Practitioner - Physical Therapist in Private Practice 4880010339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

Practice addresses (Care Compare)

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 5, 2020 Accepting new patients
Aptiva Health Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 5, 2020 Accepting new patients
Aptiva Health CurrentSince Jun 1, 2022 Accepting new patients
Agilitas USA Inc Past Accepting new patients
Aptiva Health Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2206 State St
Ste 300
New Albany, IN 47150
Phone (812) 206-0000

529 Westport Rd
Ste 2
Elizabethtown, KY 42701

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

2093 Medical Arts Dr
Ste 101A
Hebron, KY 41048

230 Fountain Ct
Ste 140
Lexington, KY 40509
Phone (859) 592-1008

230 Fountain Ct
Ste 180B
Lexington, KY 40509

152 W Tiverton Way
Ste 180
Lexington, KY 40503

3611 Newburg Rd
Ste 101
Louisville, KY 40218

7943 Bardstown Rd
Louisville, KY 40291
Phone (502) 813-8080

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

3611 Newburg Rd
Ste 101A
Louisville, KY 40218

300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011

300 S 13th St
Unit 101A
Louisville, KY 40203

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

401 N English Station Rd
Louisville, KY 40223

3615 Newburg Rd
Ste 101A
Louisville, KY 40218

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

3611 Newburg Rd
Louisville, KY 40218

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1801413109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183368",
            "telephone_number": "029-090-7725",
            "fax_number": "855-859-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.