Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Charles Elwert, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1780115568

Nicholas Charles Elwert, DO is a Physical Medicine and Rehabilitation in Lexington, Kentucky. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2017, 9 years ago. Practices with Proactive Therapy, Inc, a 122-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
9
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
KY
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2050 Versailles Rd Ste U102
Lexington, KY 40504
Phone: (859) 257-4888
Fax: (859) 323-1123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • University Of Kentucky 800 Rose Street, Lexington, KY 40536 — (859) 323-2636

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 04943 (KY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence R4413 (KY)

Record details

NPI number1780115568
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 23, 2017
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address2050 Versailles Rd, Lexington, KY 40504-1405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2017 (9 years in practice)
Group practice Proactive Therapy, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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