Active NPI
Roger Robinson
- Physical Therapist
- Bardstown, KY
National Provider Identifier
1922069608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 001771
- Practice address
- 888 Old Nazareth Rd
Bardstown, KY 40004-9438 - Phone
- (502) 510-6363
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 001771 | KY | Primary |
Addresses
Primary practice location
888 Old Nazareth Rd
Bardstown, KY 40004-9438
Mailing address
888 Old Nazareth Rd
Bardstown, KY 40004-9438
Phone (502) 510-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 001771 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Kentucky, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Kentucky, LLC | Physical Therapist | Current | Accepting new patients |
| NPI 1790039667 | Physical Therapist | Past | Accepting new patients |
| Louisville Physical Therapy PSC | Past | Accepting new patients |
Locations
101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1275166696
Physical Therapist
-
- Rehabilitation Clinic/Center
- Florence, KY
- NPI 1669195640
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1760482715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672531200000",
"number": "1922069608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 OLD NAZARETH RD",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400049438",
"telephone_number": "502-510-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 OLD NAZARETH RD",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400049438",
"telephone_number": "502-510-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "ROGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2023-01-01",
"certification_date": "2023-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT 001771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.