Active NPI
University of Louisville Physicians-Divsion of PM&R
- Rehabilitation Hospital
- New Albany, IN
National Provider Identifier
1457730723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 3009391
- Legal business name
- UNIVERSITY OF LOUISVILLE PHYSICIANS-DIVSION OF PM&R
- Practice address
- 3104 Blackiston Blvd
Dr. Shaw'S Office
New Albany, IN 47150-9579 - Phone
- (812) 941-6156
- Fax
- (812) 941-6279
- NPI assigned
- May 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Marie Cooper, FNP-C
- Title
- Aprn
- Phone
- (812) 941-6156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 3009391 | KY | Primary |
Addresses
Primary practice location
3104 Blackiston Blvd
Dr. Shaw'S Office
New Albany, IN 47150-9579
Mailing address
3104 Blackiston Blvd
Dr. Shaw'S Office
New Albany, IN 47150-9579
Phone (812) 941-6156
National Provider Directory
National Provider Directory- Tax ID family
- Ulp Acb Neurosurgery
Locations
3104 Blackiston Blvd
Ofc
New Albany, IN 47150
Phone (812) 941-6156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432080000000",
"number": "1457730723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 BLACKISTON BLVD",
"address_2": "DR. SHAW'S OFFICE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509579",
"telephone_number": "812-941-6156",
"fax_number": "812-941-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 BLACKISTON BLVD",
"address_2": "DR. SHAW'S OFFICE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509579",
"telephone_number": "812-941-6156",
"fax_number": "812-941-6279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF LOUISVILLE PHYSICIANS-DIVSION OF PM&R",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "812-941-6156",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "KY",
"license": "3009391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.