Individual provider Active NPI

Carly Justine Pujol, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1891625026
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775
Phone
(502) 587-1236
NPI assigned
May 20, 2026
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 NU Primary

Addresses

Primary practice location

5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775

Mailing address

111 Kelly CT
Cape Girardeau, MO 63701-8995
Phone (573) 576-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis and Badenhausen Orthopaedics, PSCGroup PAC ID 9032104559, shared by 2 NPIs, 37 clinicians

Practice addresses (Care Compare)

5120 Dixie Hwy
Suite 102
Louisville, KY 40216-1775
Phone 50258712364222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1891625026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KELLY CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018995",
            "telephone_number": "573-576-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161775",
            "telephone_number": "502-587-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJOL",
        "first_name": "CARLY",
        "middle_name": "JUSTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.