Organization Active NPI

Passageways Medical Therapy, Inc.

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
National Provider Identifier
1467825604
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PASSAGEWAYS MEDICAL THERAPY, INC.
Practice address
4006 Dutchmans LN
Louisville, KY 40207-4704
Phone
(502) 837-7517
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Bruce D. Atherton
Title
Secretary/ Director of Legal Affair
Phone
(502) 424-4452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4006 Dutchmans LN
Louisville, KY 40207-4704

Mailing address

4006 Dutchmans LN
Louisville, KY 40207-4704
Phone (502) 837-7517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1467825604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074704",
            "telephone_number": "502-837-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074704",
            "telephone_number": "502-837-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGEWAYS MEDICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "ATHERTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SECRETARY/ DIRECTOR OF LEGAL AFFAIR",
        "authorized_official_telephone_number": "502-424-4452"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Nov 18, 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.