Organization Active NPI

Healing Hands Physical Therapy

  • Developmental Disabilities Clinic/Center
  • Louisville, KY
National Provider Identifier
1174790414
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
HEALING HANDS PHYSICAL THERAPY
Practice address
11901 Shelbyville Rd
Suite 125
Louisville, KY 40243-1077
Phone
(502) 499-5559
Fax
(502) 499-5399
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mrs. Liz Irene Chancellor
Title
Administrator
Phone
(502) 499-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

11901 Shelbyville Rd
Suite 125
Louisville, KY 40243-1077

Mailing address

11901 Shelbyville Rd
Suite 125
Louisville, KY 40243-1077
Phone (502) 499-5559

Other identifiers 1

IdentifierTypeStateIssuer
33000381MedicaidKY

National Provider Directory

National Provider Directory

Locations

11901 Shelbyville Rd
Ste 125
Middletown, KY 40243
Phone (502) 253-6996

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1174790414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SHELBYVILLE RD",
            "address_2": "SUITE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431077",
            "telephone_number": "502-499-5559",
            "fax_number": "502-499-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SHELBYVILLE RD",
            "address_2": "SUITE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431077",
            "telephone_number": "502-499-5559",
            "fax_number": "502-499-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-499-5559",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000381",
            "state": "KY"
        }
    ],
    "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 May 15, 2008; 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.