NPIMap

Organization Active NPI

Active Day Ky, Inc.

Doing business as Active Day of Louisville Hikes Point

  • Rehabilitation Clinic/Center
  • Louisville, KY
National Provider Identifier
1043244379
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PENDING Issued in KY
Legal business name
ACTIVE DAY KY, INC.
Doing business as
Active Day of Louisville Hikes Point
Practice address
3403 Breckenridge LN
Louisville, KY 40220-3101
Phone
(502) 896-1444
Fax
(502) 893-0095
NPI assigned
Jul 11, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Kris W. Baldock, NOT APPLICABLE
Title
Director and President
Phone
(443) 548-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X PENDING KY Primary

Addresses

Primary practice location

3403 Breckenridge LN
Louisville, KY 40220-3101

Mailing address

400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200

Other names 1

  • Active Day of Louisville Hikes Point Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day Ky Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1043244379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REDLAND CT",
            "address_2": "SUITE 114",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173270",
            "telephone_number": "443-548-2200",
            "fax_number": "443-548-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203101",
            "telephone_number": "502-896-1444",
            "fax_number": "502-893-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY KY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "443-548-2201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NOT APPLICABLE"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Louisville Hikes Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2023; 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.