Organization Active NPI

Therapy Associates of Louisville, LLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1154765550
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT9908 Issued in FL
Legal business name
THERAPY ASSOCIATES OF LOUISVILLE, LLC
Practice address
4810 Poplar Place Dr Ste 100
Louisville, KY 40213-2383
Phone
(727) 768-3877
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Stephen Duvall, PT
Title
Owner
Phone
(727) 768-3877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT9908 FL Primary

Addresses

Primary practice location

4810 Poplar Place Dr Ste 100
Louisville, KY 40213-2383

Mailing address

542 Johns Pass Ave
Madeira Beach, FL 33708-2366
Phone (727) 768-3877

National Provider Directory

National Provider Directory

Locations

4810 Poplar Place Dr
#100
Louisville, KY 40213
Phone (727) 768-3877

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1154765550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 JOHNS PASS AVE",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082366",
            "telephone_number": "727-768-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 POPLAR PLACE DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132383",
            "telephone_number": "727-768-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ASSOCIATES OF LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-768-3877",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT9908",
            "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 Apr 29, 2013; 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.