NPIMap

Organization Active NPI

Green Hill Therapy Inc

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1063512697
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREEN HILL THERAPY INC
Practice address
1410 Long Run Rd
Louisville, KY 40245-4334
Phone
(502) 265-8847
Fax
(502) 244-6631
NPI assigned
Sep 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Andrea Burton
Title
Business Office Manager
Phone
(502) 265-8847

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X KY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X KY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY
Durable Medical Equipment & Medical Supplies 332B00000X R4085 KY

Addresses

Primary practice location

1410 Long Run Rd
Louisville, KY 40245-4334

Mailing address

1410 Long Run Road
Louisville, KY 40245
Phone (502) 244-8011

Other identifiers 7

IdentifierTypeStateIssuer
000000288920OtherKYANTHEM
000000547295OtherKYANTHEM
7100207730MedicaidKY
7100235370MedicaidKY
7100137300MedicaidKY
000000273468OtherKYANTHEM
50000010OtherKYPASSPORT

National Provider Directory

National Provider Directory

Locations

1410 Long Run Rd
Louisville, KY 40245
Phone (502) 244-8011

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1063512697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40245",
            "telephone_number": "502-244-8011",
            "fax_number": "502-244-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454334",
            "telephone_number": "502-265-8847",
            "fax_number": "502-244-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "502-265-8847"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "R4085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000288920",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000547295",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100207730",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100235370",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100137300",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000273468",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50000010",
            "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 Oct 5, 2021; 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.