ELLIOT RICHARD MATTINGLY PT, DPT
NPI 1154695864
Physical Therapist - Orthopedic in Bardstown, KY
About Elliot Richard Mattingly Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIOT RICHARD MATTINGLY PT, DPT (NPI 1154695864) is an individual orthopedic provider in Bardstown, Kentucky, licensed in Kentucky (005992) and active in the NPI registry since February 2012. He is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elliot Richard Mattingly Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Elliot Mattingly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bardstown, KY 40004
- Reassigned Medicare billing, Kentucky enrollment
- 70 clinicians in this Medicare group
Mt Washington, KY 40047
- Reassigned Medicare billing, Kentucky enrollment
- 221 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BARDSTOWN, KY 40004
BARDSTOWN, KY 40004
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elliot Mattingly's NPI number?
The NPI number for Elliot Mattingly is 1154695864. It was assigned to this individual provider in the NPPES registry on February 27, 2012.
Where is Elliot Mattingly located?
Elliot Mattingly practices at 875 Pennsylvania Ave, Bardstown, KY 40004. The listed phone number is (502) 349-6961.
What is Elliot Mattingly's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Elliot Mattingly enrolled in Medicare?
Yes. Elliot Mattingly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Elliot Mattingly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elliot Mattingly reassigns Medicare benefits to 2 organizations: Kentucky Orthopedic Rehabilitation LLC (Bardstown, KY) and Sn Kentuckiana Rehab, LLC (Mt Washington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elliot Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elliot Mattingly accept?
Health plans from Anthem Blue Cross and Blue Shield list Elliot Mattingly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elliot Mattingly was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elliot Richard Mattingly, PT, DPT · NPI 1154695864
Orthopedic provider in Bardstown, Kentucky. Individual provider, active in the CMS NPPES registry since February 27, 2012.
## Identity
- **NPI:** 1154695864 (Entity type: Individual)
- **Enumerated:** February 27, 2012
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 005992 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 875 PENNSYLVANIA AVE, Bardstown, KY 40004-2529
- **Phone:** (502) 349-6961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kentucky Orthopedic Rehabilitation LLC (NPI 1770740821, Bardstown, KY); Sn Kentuckiana Rehab, LLC (NPI 1891268298, Mt Washington, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 27, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1154695864) · Data from the CMS NPPES public registry.