NPIMap

Organization Active NPI

Prorehab Louisville, LLC

  • Occupational Therapist
  • Jeffersontown, KY
National Provider Identifier
1194684779
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PROREHAB LOUISVILLE, LLC
Practice address
3831 Ruckriegel Pkwy Ste 108
Jeffersontown, KY 40299-4199
Phone
(502) 537-7720
Fax
(502) 537-7719
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Cynthia McCauley
Title
Chief Legal & Compliance Officer
Phone
(502) 576-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

3831 Ruckriegel Pkwy Ste 108
Jeffersontown, KY 40299-4199

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

National Provider Directory

National Provider Directory
Tax ID family
Prorehab Louisville LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

3831 Ruckriegel Pkwy
Ste 108
Louisville, KY 40299
Phone (502) 537-7720

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1194684779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "fax_number": "812-590-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 RUCKRIEGEL PKWY STE 108",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402994199",
            "telephone_number": "502-537-7720",
            "fax_number": "502-537-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF LEGAL & COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "502-576-3300"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersontown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.