Individual provider Active NPI

Daniel G Brussell, DPT

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1841845344
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007716 Issued in KY
Practice address
1054 Center Dr Ste 1
Richmond, KY 40475-3851
Phone
(859) 625-0600
Fax
(859) 625-0969
NPI assigned
Aug 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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 007716 KY Primary

Addresses

Primary practice location

1054 Center Dr Ste 1
Richmond, KY 40475-3851

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (717) 839-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001848 KY Practitioner - Physical Therapist in Private Practice 6901134261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2022 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Aug 12, 2019 Accepting new patients

Locations

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

1010 Monarch St
Ste 150
Lexington, KY 40513
Phone (859) 219-0211

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

1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600

431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 5

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1841845344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "717-839-2125",
            "fax_number": "717-565-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 CENTER DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753851",
            "telephone_number": "859-625-0600",
            "fax_number": "859-625-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSSELL",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.