Organization Active NPI

Physical Acuity Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Louisville, KY
National Provider Identifier
1255680443
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL ACUITY REHABILITATION, LLC
Practice address
13050 Magisterial Dr
Suite 100
Louisville, KY 40223-5180
Phone
(502) 245-1061
Fax
(502) 245-1065
NPI assigned
Sep 3, 2012
Last updated
Sep 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

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

Authorized official

Name
Dr. Roger Allen Davis II, PT, DPT
Title
Director of Operations
Phone
(502) 245-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X KY Primary

Addresses

Primary practice location

13050 Magisterial Dr
Suite 100
Louisville, KY 40223-5180

Mailing address

8514 Shirley LN
Louisville, KY 40258-1122
Phone (502) 836-1642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346630400000",
    "number": "1255680443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 SHIRLEY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581122",
            "telephone_number": "502-836-1642",
            "fax_number": "502-245-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 MAGISTERIAL DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235180",
            "telephone_number": "502-245-1061",
            "fax_number": "502-245-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL ACUITY REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "502-245-1061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 3, 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.