Therese M Nietupski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004890 Issued in KY

Practice address

1410 Long Run Rd
Louisville, KY 40245-4334

Phone

(502) 244-8011

Fax

(502) 244-6631

NPI assigned

May 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Therese M Effinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1431734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1972981496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454334",
            "telephone_number": "502-244-8011",
            "fax_number": "502-244-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454334",
            "telephone_number": "502-244-8011",
            "fax_number": "502-244-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETUPSKI",
        "first_name": "THERESE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-16",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000934732",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESE",
            "last_name": "EFFINGER",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Kay Niemann, M.S. CCC, SLP
• Sarah Catherine Niemann, CCC-SLP
• Holly Kate Niemczyk, OTR
• John W Niemeyer, PTA
• Leanne Nieters, PHARMD
• Yadiel Nieves Hernandez, DC
• Mary Rose J Nieves
• Hannah Niewadomski, APRN
• Kamal Kant Nigam, MD
• Kusum T Nigam, MD

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.