Active NPI
Christine Ann Brightwell, D.P.T
- Physical Therapist
- Shively, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006607
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006607 | Other | KY | KENTUCKY PHYSICAL THERAPY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | 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.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1609349018
KY, Physical Therapist
-
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1043775521
-
- Durable Medical Equipment & Medical Supplies
- Shelbyville, KY
- NPI 1053944900
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1063978435
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1063985463
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1114482692
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1235602616
-
- Rehabilitation Clinic/Center
- Shepherdsville, KY
- NPI 1265905665
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295208734
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295234623
-
- Rehabilitation Clinic/Center
- Elizabethtown, KY
- NPI 1467925859
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.