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CHRISTINE GAYLE MEDINA SLP
NPI 1164000139
Speech-Language Pathologist in Louisville, KY

Active since March 31, 2021Accepts Medicare Assignment
200 BROOKSIDE DR, LOUISVILLE, KY 40243(502) 245-3048 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 23, 2024, Mar 31, 2021 (2 updates tracked since 2021).

About Christine Gayle Medina Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE GAYLE MEDINA SLP (NPI 1164000139) is an individual speech-language pathologist provider in Louisville, Kentucky, licensed in Kentucky (3555) and active in the NPI registry since March 2021. She maintains a secondary practice location in Louisville and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164000139
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCHRISTINE GAYLE MEDINACredential: SLP
Location Address200 BROOKSIDE DRLouisville, KY 40243-1277
Mailing Address3506 Pinecone CirLouisville, KY 40241-2725 · (502) 533-2424
Phone(502) 245-3048
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 31, 2021
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1164000139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in KY · 3555
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
200 BROOKSIDE DR, Louisville, KY 40243
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Secondary Practice Location 1

Location 19600 Lamborne BlvdLouisville, KY 40272-2505 · Phone (502) 935-7284

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

Christine Gayle Medina Slp 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.

PECOS PAC ID143604884
PECOS Enrollment IDI20220830003102

Medicare Billing Reassignment

Medicare enrollment records show Christine Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Services Ky LLC
18 mi
Physical Therapist
9251 STONESTREET RD
Louisville, KY 40272
  • Reassigned Medicare billing, Kentucky enrollment
  • 48 clinicians in this Medicare group
NPI 1811754112 (877) 407-3422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARA CASEY BROWN PT
Physical Therapist
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 500-1220
SAMANTHA LYNN KLEMENZ DPT
Physical Therapist
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 253-4318
MRS. JASMINE MARIE MONROE OTR/L
Occupational Therapist
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 253-4318
SNH DERBY TENANT LLC
Assisted Living Facility
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 245-3048
MRS. LINDA KAYE RUEFF
Physical Therapist
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 253-4318
EMILY E FUZETTE
Speech-Language Pathologist
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 245-3048
FIVE STAR BROOKSIDE LLC
Skilled Nursing Facility
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 245-3048
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
Clinic/Center (Physical Therapy)
200 BROOKSIDE DR
LOUISVILLE, KY 40243
Jefferson County (502) 245-3048

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 Christine Medina's NPI number?

The NPI number for Christine Medina is 1164000139. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Christine Medina located?

Christine Medina practices at 200 Brookside Dr, Louisville, KY 40243. The listed phone number is (502) 245-3048.

What is Christine Medina's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Christine Medina enrolled in Medicare?

Yes. Christine Medina 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 organization bills Medicare for Christine Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Medina reassigns Medicare benefits to Fox Rehabilitation Services Ky LLC (Louisville, KY). The 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 Christine Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christine Medina was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.