Jeff Ayres PT Therapy Center, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000996 Issued in KY

Legal business name

JEFF AYRES PT THERAPY CENTER, INC

Practice address

4010 Dupont Circle
Suite L-14
Louisville, KY 40207-4825

Phone

(502) 899-1911

Fax

(502) 899-1981

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Jeffrey Ayres, PT PHYSICAL THERAPIS

Title

Owner

Phone

(502) 899-1911

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1174664247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIRCLE",
            "address_2": "SUITE L-14",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074825",
            "telephone_number": "502-899-1911",
            "fax_number": "502-899-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIRCLE",
            "address_2": "SUITE L-14",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074825",
            "telephone_number": "502-899-1911",
            "fax_number": "502-899-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF AYRES PT THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-899-1911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT PHYSICAL THERAPIS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "000996",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.