Individual provider Active NPI

Matthew Robert Graessle, DPT

  • Physical Therapist
  • Hebron, KY
National Provider Identifier
1841587300
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008199 Issued in KY
Practice address
3065 N Bend Rd Ste C
Hebron, KY 41048-2502
Phone
(859) 267-2293
Fax
(859) 287-3291
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013179 OH
Physical Therapist 225100000X 05010472A IN
Physical Therapist 225100000X 008199 KY Primary

Addresses

Primary practice location

3065 N Bend Rd Ste C
Hebron, KY 41048-2502

Mailing address

3065 N Bend Rd Ste C
Hebron, KY 41048-2502
Phone (859) 267-2293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401002093 KY Practitioner - Physical Therapist in Private Practice 4183910300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Practice addresses (Care Compare)

9039 US Hwy 42
Suite G
Union, KY 41091-7195
Phone (859) 384-0367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013179OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jam Physical Therapy Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Mar 15, 2021 Accepting new patients

Locations

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

280 Mount Zion Rd
Ste B
Florence, KY 41042
Phone (859) 817-0615

7800 John Davis Dr
Ste 460
Frankfort, KY 40601
Phone (502) 699-2734

3065 N Bend Rd
Ste C
Hebron, KY 41048
Phone (859) 267-2293

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

2420 Lime Kiln Ln
Ste C
Louisville, KY 40222
Phone (502) 630-3296

3099 Breckenridge Ln
Ste 107
Louisville, KY 40220
Phone (502) 963-5229

1917 Blankenbaker Pkwy
Louisville, KY 40299
Phone (502) 409-8094

3129 S 2nd St
Louisville, KY 40208
Phone (502) 690-2458

5524 New Cut Rd
#B
Louisville, KY 40214
Phone (502) 290-4783

12418 La Grange Rd
Ste 115
Louisville, KY 40245
Phone (502) 890-6001

9039 US Highway 42
Ste G
Union, KY 41091
Phone (859) 384-0367

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1841587300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 N BEND RD STE C",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410482502",
            "telephone_number": "859-267-2293",
            "fax_number": "859-287-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 N BEND RD STE C",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410482502",
            "telephone_number": "859-267-2293",
            "fax_number": "859-287-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAESSLE",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010472A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.