Kentucky Pain & Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KENTUCKY PAIN & REHAB LLC

Practice address

3715 Bardstown Rd Ste 312
Louisville, KY 40218-2268

Phone

(502) 454-7444

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Ivey, DC

Title

President/Owner

Phone

(502) 454-7444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1184987331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 BARDSTOWN RD STE 312",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182268",
            "telephone_number": "502-454-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BARDSTOWN RD STE 312",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182268",
            "telephone_number": "502-454-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PAIN & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "502-454-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Orthopedic Rehabilitation, LLC
• Kentucky Orthopedic Rehabilitation, LLC
• Kentucky Orthopedic Rehabilitation, LLC
• Kentucky Orthopedic Specialists PLLC
• Kentucky Orthotic Providers, LLC
• Kentucky Pain Associates, PLLC
• Kentucky Pain Management PSC
• Kentucky Pediatric Ophthalmology and Strabismus, PLLC
• Kentucky Podiatry PLLC
• Kentucky Psychiatric and Mental Health Serivces, PLLC

• 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 Jun 22, 2012; 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.