Individual provider Active NPI

Lauren Cotton Kirby, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1821337023
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006177 Issued in KY
Practice address
12613 Taylorsville Rd Ste 118
Louisville, KY 40299-5496
Phone
(502) 267-1480
NPI assigned
Feb 7, 2013
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 006177 KY Primary

Addresses

Primary practice location

12613 Taylorsville Rd Ste 118
Louisville, KY 40299-5496

Mailing address

12613 Taylorsville Rd Ste 118
Louisville, KY 40299-5496
Phone (502) 267-1480

Other practice location 1

12935 Shelbyville Rd
Louisville, KY 40243-1592
Phone (502) 489-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531002248 KY Practitioner - Physical Therapist in Private Practice 6406146497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006177KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 447-2750

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

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

12935 Shelbyville Rd
Middletown, KY 40243
Phone (502) 489-5002

Organizations & group practices 3

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1821337023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 TAYLORSVILLE RD STE 118",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995496",
            "telephone_number": "502-267-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 TAYLORSVILLE RD STE 118",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995496",
            "telephone_number": "502-267-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12935 Shelbyville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431592",
            "country_code": "US",
            "telephone_number": "502-489-5002",
            "fax_number": "502-489-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "LAUREN",
        "middle_name": "COTTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006177",
            "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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.