NPIMap

Organization Active NPI

Next PT Group Kentucky, LLC

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1861962581
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEXT PT GROUP KENTUCKY, LLC
Practice address
2400 Arnold Palmer Blvd
Louisville, KY 40245-4215
Phone
(502) 694-3740
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Kevin P. Krueger
Title
Owner
Phone
(850) 380-4657

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

2400 Arnold Palmer Blvd
Louisville, KY 40245-4215

Mailing address

1379 Players Club Cir
Gulf Breeze, FL 32563-3521
Phone (850) 480-7952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190605003369 KY Part B Supplier - Clinic/Group Practice 9032442017 Receives reassigned benefits from 18 practitioners
Practice locations: Prospect, KY; Louisville, KY; Lexington, KY

National Provider Directory

National Provider Directory

Locations

1760 Plantside Dr
Louisville, KY 40299
Phone (502) 557-6540

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1861962581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 PLAYERS CLUB CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633521",
            "telephone_number": "850-480-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ARNOLD PALMER BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454215",
            "telephone_number": "502-694-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT PT GROUP KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-380-4657"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 29, 2020; 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.