Jeffersontown Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JEFFERSONTOWN PHYSICAL THERAPY LLC

Practice address

2152 S Hurstbourne Pkwy
Louisville, KY 40220-1622

Phone

(502) 449-0107

Fax

(502) 499-0535

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 2

Addresses

Other names 1

• KORT J-town Physical Therapy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kentucky Orthopedic Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Winchester, KY
  • NPI 1750381778

  Member Of

  NPD member

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1124029996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201622",
            "telephone_number": "502-449-0107",
            "fax_number": "502-499-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONTOWN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORT J-town Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Michele Jefferson
• Jeffersontown Chiropractic LLC
• Jeffersontown Counseling Services
• Jeffersontown Dental LLC
• Jeffersontown Fire Protection District
• Jeffersotown Family Practice
• Vicki L Jeffery, APRN
• Jeffrey V. Chou, DPM
• Angela Michelle Jeffries, M.D.
• Natalie Wise Jeffries, PA-C

• 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 Nov 26, 2014; 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.