Organization Active NPI

Bardstown Therapy & Chiro, Inc.

  • Rehabilitation Chiropractor
  • Louisville, KY
National Provider Identifier
1619642535
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
BARDSTOWN THERAPY & CHIRO, INC.
Practice address
4229 Bardstown Rd Ste 318
Louisville, KY 40218-3281
Phone
(502) 963-1955
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Giannys Mato, LMTNPI 1306187190
Title
President
Phone
(502) 963-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

4229 Bardstown Rd Ste 318
Louisville, KY 40218-3281

Mailing address

4229 Bardstown Rd Ste 318
Louisville, KY 40218-3281
Phone (502) 963-1955

National Provider Directory

National Provider Directory

Locations

4229 Bardstown Rd
Ste 318
Louisville, KY 40218
Phone (502) 963-1955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1619642535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 318",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183281",
            "telephone_number": "502-963-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 318",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183281",
            "telephone_number": "502-963-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN THERAPY & CHIRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MATO",
        "authorized_official_first_name": "GIANNYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-963-1955",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "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 Aug 12, 2021; 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.