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Active NPI 1194654293 Individual Practitioner Male Practitioner

Nathaniel Lee Proctor

Physical Therapist • Shively, KY

Professional Overview & Biography Verified Profile Summary

Nathaniel Proctor is a registered healthcare professional specializing in Physical Therapist in Shively, KY. Practice services are available at 4420 DIXIE HWY STE 122 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4420 Dixie Hwy Ste 122

Shively, KY 402162986

Telephone 5024472750
Associated Practice Facility / Clinic
🏢 Sn Kentuckiana Rehab, Llc Facility NPI 1821561226

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Shively, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Shively, KY (3267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-05
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License KY 009621

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Christian North

Physical Therapist

NPI 1003358219
Ellen Persons , OT

Occupational Therapist

NPI 1013686310

Occupational Therapist

Joshua Heines , MA, ATC

Specialist/Technologist - Athletic Trainer

NPI 1023547726

Master of Arts, Certified Athletic Trainer

Dr. Amy Wells , PT, DPT

Physical Therapist

NPI 1174541320

Physical Therapist, Doctor of Physical Therapy

Crista Pizer , ATC

Specialist/Technologist - Athletic Trainer

NPI 1215489554

Certified Athletic Trainer

Jordan Bormann

Physical Therapist

NPI 1235491754

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2026

Physical Therapist (License #009621 in KY)

NPI Profile Active May 15, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2026

Registered at 4420 DIXIE HWY STE 122, SHIVELY, KY 402162986 (Tel: 5024472750)

📍
Updated Business Mailing Address May 15, 2026

Registered at 6612 DEERFIELD DR, CHARLESTOWN, IN 471118778 (Tel: 8125905072)

👤
Provider Name / Credentials Updated May 15, 2026

Recorded as NATHANIEL PROCTOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2026

Physical Therapist (License #TP2026024 in KY)

🟢
Initial NPI Registration & Enumeration May 15, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194654293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2026
Last Update: August 05, 2026
Sole Proprietor: No

Mailing Address

6612 Deerfield Dr

Charlestown, IN 471118778

Phone: 8125905072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.