NATHANIEL LEE PROCTOR
NPI 1194654293
Physical Therapist in Shively, KY

Active since May 15, 2026Accepts Medicare Assignment
4420 DIXIE HWY STE 122, SHIVELY, KY 40216(502) 447-2750 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, May 15, 2026 (2 updates tracked since 2026).

About Nathaniel Lee Proctor NPPES

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

NATHANIEL LEE PROCTOR (NPI 1194654293) is an individual physical therapist in Shively, Kentucky, licensed in Kentucky (009621) and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1194654293
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNATHANIEL LEE PROCTOR
Location Address4420 DIXIE HWY STE 122Shively, KY 40216-2986
Mailing Address6612 Deerfield DrCharlestown, IN 47111-8778 · (812) 590-5072
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 15, 2026
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1194654293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KY · 009621
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4420 DIXIE HWY STE 122, Shively, KY 40216

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

Nathaniel Lee Proctor 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 ID2769940550
PECOS Enrollment IDI20260821003160

Medicare Billing Reassignment

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

Rehabilitation
4420 DIXIE HWY STE 122
Louisville, KY 40216
  • 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Occupational Therapist
4420 DIXIE HWY STE 122
SHIVELY, KY 40216
Durable Medical Equipment & Medical Supplies
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216
Physical Therapist
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216
Physical Therapist
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216
Clinic/Center (Rehabilitation)
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216
Physical Therapist
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216
Physical Therapist
4420 DIXIE HWY STE 122
SHIVELY, KY 40216
Occupational Therapist
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216

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 Nathaniel Proctor's NPI number?

The NPI number for Nathaniel Proctor is 1194654293. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Nathaniel Proctor located?

Nathaniel Proctor practices at 4420 Dixie Hwy Ste 122, Shively, KY 40216. The listed phone number is (502) 447-2750.

What is Nathaniel Proctor's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nathaniel Proctor enrolled in Medicare?

Yes. Nathaniel Proctor 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 Nathaniel Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Proctor reassigns Medicare benefits to Sn Kentuckiana Rehab, 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 Nathaniel Proctor'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 Nathaniel Proctor was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.