Individual provider Active NPI

Christine Ann Brightwell, D.P.T

  • Physical Therapist
  • Shively, KY
National Provider Identifier
1992184469
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006607 Issued in KY
Practice address
4420 Dixie Hwy
Suite 122
Shively, KY 40216-2988
Phone
(502) 447-2750
Fax
(502) 449-9062
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006607 KY Primary

Addresses

Primary practice location

4420 Dixie Hwy
Suite 122
Shively, KY 40216-2988

Mailing address

4420 Dixie Hwy
Suite 122
Shively, KY 40216-2988
Phone (502) 447-2750

Other practice location 1

2944 Breckenridge Ln
Louisville, KY 40220-1409
Phone (502) 893-0159

Other identifiers 1

IdentifierTypeStateIssuer
006607OtherKYKENTUCKY PHYSICAL THERAPY LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423000427 KY Practitioner - Physical Therapist in Private Practice 4183966161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

4420 Dixie Hwy
Suite 122
Louisville, KY 40216-2986
Phone (502) 447-2750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

3509 S Hurstbourne Pkwy
Louisville, KY 40299
Phone (502) 537-7070

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1992184469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 DIXIE HWY",
            "address_2": "SUITE 122",
            "city": "SHIVELY",
            "state": "KY",
            "postal_code": "402162988",
            "telephone_number": "502-447-2750",
            "fax_number": "502-449-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DIXIE HWY",
            "address_2": "SUITE 122",
            "city": "SHIVELY",
            "state": "KY",
            "postal_code": "402162988",
            "telephone_number": "502-447-2750",
            "fax_number": "502-449-9062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2944 Breckenridge Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201409",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "006607",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shively, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.