MRS. AUDREY STOCKWELL (PT) – Physical Therapist, NPI 1306955984
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY
Provider Addresses for MRS. AUDREY STOCKWELL (PT)
6003 PLEASANT COLONY CT
SUITE 3
CRESTWOOD, KY 400148678
Phone: (502) 241-5597
Type: Location
1805 BUNKER HILL CT
LOUISVILLE, KY 402052704
Phone: (502) 938-5167
Type: Mailing
2901 BARDSTOWN RD
LOUISVILLE, KY 402053017
Phone: (502) 459-6307
Type: Location
Gladstone Avenue, Briscoe, Strathmoor Gardens, Louisville, Jefferson County, Kentucky, 40205, United States
LOUISVILLE, KY 402052616
Phone: (502) 938-5167
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110713000778 | I | Physical Therapist In Private Practice | KY | TBD |
| I20250129002101 | I | Physical Therapist In Private Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40014)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | KY | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 77 | 23 |
| PHYSICAL THERAPY | KY | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 475 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Orthopedic Surgery | KY | |
| - | TX | |
| Occupational Therapist In Private Practice | KY | |
| Sports Medicine | IL | |
| - | KY | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | KY |
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