Orthopedic & Sports Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002994 Issued in KY

Legal business name

ORTHOPEDIC & SPORTS PHYSICAL THERAPY PLLC

Practice address

11330 Maple Brook Dr
Louisville, KY 40241-2080

Phone

(502) 426-2221

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Susan D McGovern

Title

Office Manager

Phone

(502) 426-2221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1598076028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 MAPLE BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412080",
            "telephone_number": "502-426-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 MAPLE BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412080",
            "telephone_number": "502-426-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-426-2221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Associates
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• Orthopaedic Motion & Sport Physical
• Orthopaedic Specialists PLLC
• Orthopaedic Specialists PLLC
• Orthopedic & Sports Specialists of Louisville, PSC
• Orthopedic Hand and Arm PLLC
• Orthopedic Trauma Associates, PSC
• Orthoregenerative Institute
• Anna Marie Lilia Ortiz

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.