Physical Therapy Group, Inc
Organization Active NPI Physical Therapy Clinic/Center · Louisville, KY
NPI 1871620104 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871620104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- PHYSICAL THERAPY GROUP, INC
- Practice address
- 4233 Bardstown Rd
100C
Louisville, KY 40218-3280 - Phone
- (502) 493-3800
- Fax
- (502) 493-3830
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Linda Jean Caldwell
- Title
- Office Manager
- Phone
- (502) 493-3800
Practitioners 12
-
Aimee Passafiume Rossini, PT, DPT
-
Tessa D. Marie Puckett, P.T.
-
Sarah Ann Douglas, PT, DPT
-
Marian Hardin, PT
-
Kathryn Marie Marmor, PT, DPT
-
Robin McCollough, P.T.
-
Robert Roberts, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000792 | KY | Part B Supplier - Clinic/Group Practice | 5991619686 |
Receives reassigned benefits from 4 practitioners Practice locations: Louisville, KY |
National Provider Directory
Locations
4233 Bardstown Rd
Ste 100C
Louisville, KY 40218
Phone (502) 493-3800
4229 Bardstown Rd
Ste 101
Louisville, KY 40218
Phone (502) 894-9143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
4233 Bardstown Rd
100C
Louisville, KY 40218-3280
Mailing address
4233 Bardstown Rd
100C
Louisville, KY 40218-3280
Phone (502) 493-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000179063 | Other | ANTHEM HEALTH PLAN |
Other providers in Louisville, KY
- Phyllis Atzinger
- Physical Acuity Rehabilitation, LLC
- Physical Rehab Associates, PLLC
- Physical Therapy Alliance, LLC
- Physical Therapy Associates Inc
- Physical Therapy Specialists of Louisville, Inc.
- Physician Services Group
- Physicians Billings Diagnostics
- Physicians Health Group of Kentucky, PLLC
- Physicians Health Group of Louisville LLC
All providers in Louisville, KY · Physical Therapy Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.