Organization Active NPI

Proactive Therapy Harrodsburg

  • Physical Medicine & Rehabilitation Physician
  • Harrodsburg, KY
National Provider Identifier
1902750706
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PROACTIVE THERAPY HARRODSBURG
Practice address
1270 Louisville Rd
Harrodsburg, KY 40330-8611
Phone
(502) 223-7403
Fax
(502) 223-5016
NPI assigned
Feb 26, 2026
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
David R Lodmell, PT, DPTNPI 1245373091
Title
Owner
Phone
(502) 223-7403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1270 Louisville Rd
Harrodsburg, KY 40330-8611

Mailing address

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609003396 KY Part B Supplier - Clinic/Group Practice 5698246759 Receives reassigned benefits from 5 practitioners
Practice locations: Harrodsburg, KY

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1270 Louisville Rd
Harrodsburg, KY 40330
Phone (502) 223-7403

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1902750706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LEAWOOD DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013349",
            "telephone_number": "502-223-7403",
            "fax_number": "502-223-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 LOUISVILLE RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403308611",
            "telephone_number": "502-223-7403",
            "fax_number": "502-223-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE THERAPY HARRODSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "LODMELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-223-7403",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.