NPIMap

Organization Active NPI

1St Physician Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Louisville, KY
National Provider Identifier
1295936557
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
1ST PHYSICIAN REHABILITATION, INC.
Practice address
1512 Crums LN
Suite #308
Louisville, KY 40216-3861
Phone
(502) 471-2390
Fax
(502) 471-2393
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jill Mersek
Title
Admin.
Phone
(941) 552-1189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X KY Primary

Addresses

Primary practice location

1512 Crums LN
Suite #308
Louisville, KY 40216-3861

Mailing address

1512 Crums LN
Suite #308
Louisville, KY 40216-3861
Phone (502) 471-2390

National Provider Directory

National Provider Directory

Locations

1512 Crums Ln
Ste 308
Louisville, KY 40216
Phone (502) 471-2390

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295936557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CRUMS LN",
            "address_2": "SUITE #308",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163861",
            "telephone_number": "502-471-2390",
            "fax_number": "502-471-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CRUMS LN",
            "address_2": "SUITE #308",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163861",
            "telephone_number": "502-471-2390",
            "fax_number": "502-471-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PHYSICIAN REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MERSEK",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMIN.",
        "authorized_official_telephone_number": "941-552-1189"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "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 Jul 21, 2022; 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.