Slade Travis Uncleback

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-A04508 Issued in KY

Practice address

13151 Magisterial Dr
Louisville, KY 40223-4103

Phone

(502) 587-1236

NPI assigned

Aug 13, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ebo MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Louisville, KY
  • NPI 1205080082
  NPD (past)
• Ellis & Badenhausen Orthopaedics, PSC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1346356284
  NPD (past)

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1982529251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 WOODEN TRACE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402298382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234103",
            "telephone_number": "502-587-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNCLEBACK",
        "first_name": "SLADE",
        "middle_name": "TRAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "PTA-A04508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Umerley
• Arun Ummat, M.D.
• Bianca Ummat
• Joshua Umscheid
• Eric C Umstead, MD
• Elsa Underhill
• Jason Scott Underhill, BSW, ICADC
• Underwood Psychological Services
• Amy Kathleen Underwood, M.D.
• Brenda Breeden Underwood, APRN

• Physical Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.