Organization Active NPI

University of Louisville Physicians-Divsion of PM&R

  • Rehabilitation Hospital
  • New Albany, IN
National Provider Identifier
1457730723
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
3009391 Issued in KY
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

Updated by the provider on May 20, 2015

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)CodeLicenseStatePrimary
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 Neurosurgery71 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.