Bluegrass Rehab and Mobility

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BLUEGRASS REHAB AND MOBILITY

Practice address

5417 Southern Pkwy
Louisville, KY 40214-1327

Phone

(502) 751-1094

NPI assigned

Sep 14, 2018

Organization subpart

No

Name

Ryan Michael Rhodes, MSOT, OTR/L, ATP

Title

Occupational Therapist

Phone

(502) 751-1094

• Bluegrass Rehab and Mobility Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2018.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1003399148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141327",
            "telephone_number": "502-751-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141327",
            "telephone_number": "502-751-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS REHAB AND MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "502-751-1094",
        "authorized_official_credential": "MSOT, OTR/L, ATP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1912388109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Rehab and Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bluegrass Pain Consultants PLLC
• Bluegrass Pain Consultants PLLC
• Bluegrass Peer Supports
• Bluegrass Podiatric Management LLC
• Bluegrass Regional Cancer Center LLP
• Bluegrass Rural Health PLLC
• Bluegrass Senior Care
• Bluegrass Sleep LLC
• Bluegrass Sports Medicine PLLC
• Bluegrass Therapy Services LLC

• All providers in Louisville, KY
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.