Organization Active NPI

Kentucky Orthopedic Rehab Team

  • Health Maintenance Organization
  • Louisville, KY
National Provider Identifier
1093881997
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
KENTUCKY ORTHOPEDIC REHAB TEAM
Practice address
4010 Dupont Cir Ste 574
Louisville, KY 40207-4843
Phone
(502) 899-9927
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Barbara Mix
Title
Credentialing Coordinator
Phone
(270) 766-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X KY Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 574
Louisville, KY 40207-4843

Mailing address

4010 Dupont Cir Ste 574
Louisville, KY 40207-4843
Phone (502) 899-9927

National Provider Directory

National Provider Directory
Tax ID family
Kort-Kentucky Orthopedic Rehab Team15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093881997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 574",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074843",
            "telephone_number": "502-899-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 574",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074843",
            "telephone_number": "502-899-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ORTHOPEDIC REHAB TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIX",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "270-766-1990"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.