Rehab Group LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REHAB GROUP LLC

Doing business as

Rehab Group Physical Therapy LLC

Practice address

4022 Bardstown Rd
Louisville, KY 40218-2649

Phone

(606) 233-8270

NPI assigned

Sep 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abubacarr Sallah, PTA

Title

Co-Owner Organizer

Phone

(502) 338-8072

Specialties & licenses 1

Addresses

Other names 1

• Rehab Group Physical Therapy LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacinta Velasquez, PTA

  • Physical Therapy Assistant
  • Louisville, KY
  • NPI 1417269846
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1013743848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 BARDSTOWN RD STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182649",
            "telephone_number": "502-882-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182649",
            "telephone_number": "606-233-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SALLAH",
        "authorized_official_first_name": "ABUBACARR",
        "authorized_official_title_or_position": "CO-OWNER ORGANIZER",
        "authorized_official_telephone_number": "502-338-8072",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Group Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehab Group Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.