Individual provider Active NPI

Angela Margaret Northcutt, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1992459390
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008476 Issued in KY
Practice address
6506 Bardstown Rd
Louisville, KY 40291-3043
Phone
(502) 762-1243
Fax
(502) 762-9114
NPI assigned
Feb 5, 2022
Last updated
Feb 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 008476 KY Primary

Addresses

Primary practice location

6506 Bardstown Rd
Louisville, KY 40291-3043

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (502) 882-9379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324001392 KY Practitioner - Physical Therapist in Private Practice 3577958792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab LouisvilleGroup PAC ID 4587981337, 71 clinicians

Practice addresses (Care Compare)

6506 Bardstown Rd
Louisville, KY 40291-3043
Phone (502) 762-1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008476KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Feb 3, 2022 Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Feb 3, 2022 Accepting new patients
Prorehab Louisville Physical Therapist Current Accepting new patients

Locations

1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280

3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544

3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950

6506 Bardstown Rd
Louisville, KY 40291
Phone (502) 762-1243

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1992459390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913043",
            "telephone_number": "502-762-1243",
            "fax_number": "502-762-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "ANGELA",
        "middle_name": "MARGARET",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008476",
            "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 Feb 5, 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.