Active NPI
Kneeworx Medical Services LLC
- Primary Care Nurse Practitioner
- Louisville, KY
National Provider Identifier
1639834757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- KNEEWORX MEDICAL SERVICES LLC
- Practice address
- 1169 Eastern Pkwy Ste 3450
Louisville, KY 40217-1417 - Phone
- (602) 510-9800
- NPI assigned
- Nov 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Povenski Jr.
- Title
- Director of Operations
- Phone
- (800) 920-6748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1169 Eastern Pkwy Ste 3450
Louisville, KY 40217-1417
Mailing address
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Phone (888) 828-1927
National Provider Directory
National Provider DirectoryLocations
1169 Eastern Pkwy
Ste 3450
Louisville, KY 40217
Phone (502) 208-9946
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Louisville, KY
- NPI 1417243999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646956800000",
"number": "1639834757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S 4TH ST STE 700",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023046",
"telephone_number": "888-828-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY STE 3450",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171417",
"telephone_number": "602-510-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNEEWORX MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A",
"authorized_official_last_name": "POVENSKI",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "800-920-6748",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.