Active NPI
Robert Kersey, PTA
- Physical Medicine & Rehabilitation Physician
- Shepherdsville, KY
National Provider Identifier
1821248733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A01308
- Practice address
- 140 Lazy River North Pkwy
Shepherdsville, KY 40165-6225 - Phone
- (502) 543-1790
- NPI assigned
- Sep 27, 2008
- 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 Medicine & Rehabilitation Physician | 208100000X | A01308 | KY | Primary |
Addresses
Primary practice location
140 Lazy River North Pkwy
Shepherdsville, KY 40165-6225
Mailing address
140 Lazy River North Pkwy
Shepherdsville, KY 40165-6225
Phone (502) 543-1790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01308 | KY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222473600000",
"number": "1821248733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 LAZY RIVER NORTH PKWY",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656225",
"telephone_number": "502-543-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 LAZY RIVER NORTH PKWY",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656225",
"telephone_number": "502-543-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSEY",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-27",
"last_updated": "2008-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "A01308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.