SELECT PHYSICAL THERAPY OF LOUISVILLE LTD (NPI# 1285694067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285694067 |
Entity Type | Organization |
Organization Name | SELECT PHYSICAL THERAPY OF LOUISVILLE LTD |
Practice Address |
1227 Goss Ave Louisville KY 40217 |
Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
Practice Telephone | 5026361200 |
Practice Fax Number | 5026360351 |
Mailing Telephone | 7179721100 |
Mailing Fax Number | 7179759981 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2010-09-01 |
NPI Deactivation Date | 12/07/2007 |
NPI Reactivation Date | 2008-02-19 |
Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
Authorized Official Telephone | 7179721100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326008103 | Select Physical Therapy of Louisville Ltd | Clinic/Center | 12935 Shelbyville Rd, Louisville, KY 40243 | 2006-03-24 |
Street Address |
1227 GOSS AVE |
City | LOUISVILLE |
State | KY |
Zip Code | 40217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689288219 | Trent Morgan Tackett | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2020-09-01 |
1891345922 | Caroline Vaughn | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2019-09-20 |
1023581410 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 1227 Goss Ave, Louisville, KY 40217-1239 | 2019-01-08 |
1730668914 | Patrick Gerard Jacobs Jr. | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2018-08-09 |
1285112896 | Grite Brunker | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2018-08-06 |
1447738406 | Zachary Ruppert | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2018-08-01 |
1972983757 | Jean Austerman | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2015-06-05 |
1114214814 | Teresa Smith | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2011-06-30 |
1336469303 | Marti Greer | Specialist/Technologist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2010-06-01 |
1043345580 | Katie Payne Mcbee | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2007-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
Find all providers in zip 40217 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134743396 | The Female Athlete Physio, LLC | Clinic/Center | 3705 Grandview Ave, Louisville, KY 40207-3711 | 2020-06-03 |
1649808114 | Confluent Health LLC | Clinic/Center | 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 | 2020-03-31 |
1346871571 | Inspire Physical Therapy, LLC | Clinic/Center | 14901 Forest Oaks Dr, Louisville, KY 40245-6509 | 2020-01-27 |
1205470770 | Pain and Performance Solutions LLC | Clinic/Center | 102 Daventry Ln Ste 5, Louisville, KY 40223-2869 | 2019-10-29 |
1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
1811408743 | Oasis Women's Health Physical Therapy LLC | Clinic/Center | 3199 Miday Ave, Louisville, OH 44641-8934 | 2017-10-18 |
1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
1235588815 | Agilitas Usa, Inc | Clinic/Center | 9038 Taylorsville Rd Ste 13, Louisville, KY 40299-1750 | 2016-06-06 |
1851751473 | Professional Physical Therapy Clinic LLC | Clinic/Center | 3415 Bardstown Rd Ste 307, Louisville, KY 40218-4633 | 2016-02-24 |
1063809135 | Prorehab of Louisville, LLC | Clinic/Center | 3630 Brownsboro Rd, Louisville, KY 40207-1861 | 2015-04-16 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40217 |
Please comment or provide details below to improve the information on SELECT PHYSICAL THERAPY OF LOUISVILLE LTD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.