Individual provider Active NPI

Richard R. Moravec, MPT, OCS

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1982683371
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004866 Issued in KY
Practice address
1101 Grade LN
Louisville, KY 40213-2673
Phone
(812) 704-7725
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011011A IN
Physical Therapist 225100000X 004866 KY Primary

Addresses

Primary practice location

1101 Grade LN
Louisville, KY 40213-2673

Mailing address

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone (850) 881-2337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230725001248 KY Practitioner - Physical Therapist in Private Practice 0143681049 Reassigns benefits to 4 organizations
I20240808002240 IN Practitioner - Physical Therapist in Private Practice 0143681049 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Drayer Physical Therapy Indiana LLC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009

1035 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 577-0921

1316 Minnich Rd
New Haven, IN 46774
Phone (260) 748-4864

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438

1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1982683371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GRADE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132673",
            "telephone_number": "812-704-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAVEC",
        "first_name": "RICHARD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011011A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004866",
            "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 Jan 12, 2024; 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.