PROACTIVE PHYSICAL THERAPY AND WELLNESS
NPI 1255929691
Physical Therapist in Louisville, KY

Active since December 31, 2020
812 LYNDON LN STE 101, LOUISVILLE, KY 40222(812) 406-6854(502) 792-7283 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2024, Dec 31, 2020 (2 updates tracked since 2020).

About Proactive Physical Therapy And Wellness NPPES

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

PROACTIVE PHYSICAL THERAPY AND WELLNESS (NPI 1255929691) is a healthcare organization registered as a physical therapist in Louisville, Kentucky and active in the NPI registry since December 2020. The organization lists Brandon Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1255929691
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROACTIVE PHYSICAL THERAPY
Location Address812 LYNDON LN STE 101Louisville, KY 40222-3844
Mailing Address10012 Spruce Grove DrLouisville, KY 40299-3380 · (812) 406-6854
Fax(502) 792-7283
Organization SubpartNo
Authorized OfficialBrandon EvansOwner · (812) 406-6854
Enumeration DateDecember 31, 2020
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1255929691 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
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.
812 LYNDON LN STE 101, Louisville, KY 40222

Other Names 1

Other NameProactive Physical Therapy And Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Physical Therapy And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Proactive Physical Therapy And Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1346921293
812 LYNDON LN STE 101
Lyndon, KY 40222
(502) 512-2165
Same address
Physical Therapist in Private Practice
NPI 1922634237
812 LYNDON LN STE 101
Lyndon, KY 40222
(502) 512-2165
Same address
Physical Therapist in Private Practice
NPI 1225553241
10012 SPRUCE GROVE DR
Louisville, KY 40299
(502) 512-2165
✔ Accepts Medicare5.3 mi

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

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 Proactive Physical Therapy's NPI number?

The NPI number for Proactive Physical Therapy is 1255929691. It was assigned to this organization in the NPPES registry on December 31, 2020. The provider is also known as Proactive Physical Therapy And Wellness.

Where is Proactive Physical Therapy located?

Proactive Physical Therapy is located at 812 Lyndon Ln Ste 101, Louisville, KY 40222. The listed phone number is (812) 406-6854.

What is Proactive Physical Therapy's specialty?

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

Is Proactive Physical Therapy enrolled in Medicare?

Yes. Proactive Physical Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Physical Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Proactive Physical Therapy. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Physical Therapy was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.