NPIMap

Organization Active NPI

Prorehab of Louisville

  • Physical Therapy Clinic/Center
  • Louisville, KY
National Provider Identifier
1033568167
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROREHAB OF LOUISVILLE
Practice address
4201 Springhurst Blvd
Suite 101
Louisville, KY 40241-6155
Phone
(502) 890-6565
Fax
(502) 890-6568
NPI assigned
Jun 9, 2016
Last updated
Jun 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Laurence Benz, DPT
Title
Ceo/Owner
Phone
(502) 253-9202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4201 Springhurst Blvd
Suite 101
Louisville, KY 40241-6155

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 401-3259

Other identifiers 2

IdentifierTypeStateIssuer
7100412360MedicaidKY
K193730OtherKYMEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Prorehab Louisville LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1033568167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-401-3259",
            "fax_number": "812-401-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416155",
            "telephone_number": "502-890-6565",
            "fax_number": "502-890-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB OF LOUISVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "BENZ",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "502-253-9202",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100412360",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K193730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.