Organization Active NPI

Tru Athletic Performance PLLC

  • Sports Physician Chiropractor
  • Louisville, KY
National Provider Identifier
1457811366
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
TRU ATHLETIC PERFORMANCE PLLC
Practice address
2240 Taylorsville Rd #5295
Louisville, KY 40255-4011
Phone
(502) 684-3115
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Courtney Brooke Wells, DC
Title
Owner
Phone
(502) 684-3115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

2240 Taylorsville Rd #5295
Louisville, KY 40255-4011

Mailing address

2240 Taylorsville Rd #5295
Louisville, KY 40255-4011
Phone (502) 684-3115

National Provider Directory

National Provider Directory

Locations

2240 Taylorsville Rd
Unit 5295
Louisville, KY 40255
Phone (502) 684-3115

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1457811366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 TAYLORSVILLE RD #5295",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402554011",
            "telephone_number": "502-684-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TAYLORSVILLE RD #5295",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402554011",
            "telephone_number": "502-684-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU ATHLETIC PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-684-3115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "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, 2019; 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.