NPIMap

Organization Active NPI

Jefferson Rehabilitation Center Inc

  • Clinic/Center
  • Louisville, KY
National Provider Identifier
1407294598
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JEFFERSON REHABILITATION CENTER INC
Practice address
4300 Outer Loop
Suite 6
Louisville, KY 40219-3875
Phone
(502) 966-6967
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Jorge L Otero
Title
President
Phone
(502) 966-6967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4300 Outer Loop
Suite 6
Louisville, KY 40219-3875

Mailing address

4300 Outer Loop
Suite 6
Louisville, KY 40219-3875

National Provider Directory

National Provider Directory

Locations

4300 Outer Loop
Ste 6
Louisville, KY 40219
Phone (502) 966-6967

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1407294598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 OUTER LOOP",
            "address_2": "SUITE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OUTER LOOP",
            "address_2": "SUITE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193875",
            "telephone_number": "502-966-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-966-6967"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Jun 11, 2013; 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.