Individual provider Active NPI

Courtney Lynn Nelson, PT, DPT

  • Physical Therapist
  • Owensboro, KY
National Provider Identifier
1851872402
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008281 Issued in KY
Practice address
3800 Frederica St Ste 1a
Owensboro, KY 42301-6970
Phone
(270) 495-4332
Fax
(270) 495-4332
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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 05013005A IN
Physical Therapist 225100000X 008281 KY Primary

Addresses

Primary practice location

3800 Frederica St Ste 1a
Owensboro, KY 42301-6970

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

5050 Lincoln Ave
Evansville, IN 47715-7390
Phone (812) 817-0660

Other practice location 2

1605 Scherm Rd Ste 1
Owensboro, KY 42301-5300
Phone (270) 685-9499

Other names 1

  • Courtney Lynn Smith Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210809002318 KY Practitioner - Physical Therapist in Private Practice 0547664823 Reassigns benefits to 2 organizations
I20220726002062 IN Practitioner - Physical Therapist in Private Practice 0547664823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy Indiana LLCGroup PAC ID 2264846369, 14 clinicians
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Practice addresses (Care Compare)

204 Cross County PLZ
Batesville, IN 47006-8914
Phone (812) 803-2408

3800 Frederica St
Suite 1a
Owensboro, KY 42301-6970
Phone (270) 745-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013005AINMDPhysical Therapist
008281KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Progressive Sports Therapy, LLC. Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients

Locations

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

204 Cross County Plz
Batesville, IN 47006
Phone (812) 803-2408

474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009

6240 E Virginia St
Ste E
Evansville, IN 47715
Phone (812) 909-9171

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

2160 Sir Barton Way
Ste 146
Lexington, KY 40509
Phone (859) 300-0440

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

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

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

1605 Scherm Rd
Ste 1
Owensboro, KY 42301
Phone (270) 685-9499

3800 Frederica St
Ste 1A
Owensboro, KY 42301
Phone (270) 495-4332

3000 Alvey Park Dr W
Ste C
Owensboro, KY 42303
Phone (270) 240-4694

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1851872402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FREDERICA ST STE 1A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016970",
            "telephone_number": "270-495-4332",
            "fax_number": "270-495-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477157390",
            "country_code": "US",
            "telephone_number": "812-817-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1605 Scherm Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423015300",
            "country_code": "US",
            "telephone_number": "270-685-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013005A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.