Individual provider Active NPI

Sydney Ann Roby, PT, DPT

  • Physical Therapist
  • Shepherdsville, KY
National Provider Identifier
1861130882
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008596 Issued in KY
Practice address
431 Adam Shepherd Pkwy Ste 1
Shepherdsville, KY 40165-6640
Phone
(502) 921-0272
NPI assigned
May 20, 2022
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 008596 KY Primary

Addresses

Primary practice location

431 Adam Shepherd Pkwy Ste 1
Shepherdsville, KY 40165-6640

Mailing address

503 Old Mill Stream LN
Shepherdsville, KY 40165-6347
Phone (502) 594-4208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220806000582 KY Practitioner - Physical Therapist in Private Practice 8123400132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

210 E Gray St
Suite 807
Louisville, KY 40202-3927
Phone (502) 587-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 24, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 24, 2022 Accepting new patients

Locations

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

1227 Goss Ave
Louisville, KY 40217
Phone (502) 636-1200

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

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

2901 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-6307

315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961

3509 S Hurstbourne Pkwy
Louisville, KY 40299
Phone (502) 537-7070

3584 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

4010 DuPont Cir
Ste L14
Louisville, KY 40207
Phone (502) 899-1911

4430 Crawford Ave
Louisville, KY 40258
Phone (502) 995-2705

6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

9880 Angies Way
Ste 100
Louisville, KY 40241
Phone (502) 231-3979

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

115 Huston Dr
Ste 3
Shepherdsville, KY 40165
Phone (502) 629-2030

1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724

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

4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1861130882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 OLD MILL STREAM LN",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656347",
            "telephone_number": "502-594-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 ADAM SHEPHERD PKWY STE 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656640",
            "telephone_number": "502-921-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "SYDNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008596",
            "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 Dec 27, 2024; 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.