Mind, Body & Spirit Fitness, LLC.

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

KY-R2776 Issued in KY

Legal business name

MIND, BODY & SPIRIT FITNESS, LLC.

Practice address

8225 Whipps Mill Rd
Louisville, KY 40222-5403

Phone

(502) 821-5627

NPI assigned

May 25, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kennesha Denise Green, OTR/L

Title

Occupational Therapist/Ceo

Phone

(502) 821-5627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1225263924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16088",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402560088",
            "telephone_number": "502-821-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 WHIPPS MILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225403",
            "telephone_number": "502-821-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND, BODY & SPIRIT FITNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KENNESHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/CEO",
        "authorized_official_telephone_number": "502-821-5627",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KY",
            "license": "KY-R2776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A. Milum, M.D.
• Amelia Mimms, MD
• Libby Wilson Mims, M.D.
• Robert Minalga
• Ann Minch, LCSW
• Mindfirst Mental Health Service LLC
• Mindful Direction Counseling Services Inc
• Mindful Mending LLC
• Mindful Pathways PLLC
• Mindfull Healing LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.