Paragon Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

A02555 Issued in KY

Legal business name

PARAGON REHABILITATION

Doing business as

Willows at Hamburg

Practice address

2531 Old Rosebud Rd
Lexington, KY 40509-4574

Phone

(859) 543-0337

Fax

(859) 543-0338

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Clark Lair Mullins II

Title

Physical Therapist Assistant

Phone

(502) 316-5878

Specialties & licenses 1

Addresses

Other names 1

• Willows at Hamburg Doing business as

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1528306750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N HURSTBOURNE PKWY STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225158",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 OLD ROSEBUD RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094574",
            "telephone_number": "859-543-0337",
            "fax_number": "859-543-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "LAIR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "502-316-5878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "A02555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willows at Hamburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson L Pape, PHARMD
• Tyler Allen Pape, PA-C
• Brianna Papotto, MS, ATC, LAT
• Charles L Papp, MD
• Taylor Anna Papp
• Alisha Bonaroti Paranzino, MD
• Marc Adam Paranzino, DO
• Mansi Parekh, MD
• Vidhi a Parekh
• William M Parell, MD

• Skilled Nursing Facility in Lexington, KY
• Providers in Lexington, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.