PPL Rehab Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PPL REHAB SERVICES PLLC

Practice address

8206 Highview CT
Crestwood, KY 40014-8105

Phone

(502) 262-2887

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Jeffrey Hicks, PHDNPI 1518143858

Title

Owner

Phone

(502) 262-2887

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jeffrey Lee Hicks, PHD

  • Psychologist
  • Crestwood, KY
  • NPI 1518143858
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1154949469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 HIGHVIEW CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148105",
            "telephone_number": "502-262-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 HIGHVIEW CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148105",
            "telephone_number": "502-262-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPL REHAB SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-262-2887",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pierce, DPT
• Podiatric Solutions PLLC
• Pope Family Dentistry, PLLC
• Positive Connections, PLLC
• Patricia Powell, LMT
• PPL Therapeutic Services PLLC
• Prorehab Louisville
• Michael Ames Punnett, MD
• Lori Ann Pyle, MS CCC-SLP
• Tess Quesenberry

• All providers in Crestwood, KY
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.