Organization Active NPI

Recovery Rehabilitation 1

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1700159043
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RECOVERY REHABILITATION 1
Practice address
2600 W Broadway Ste 208
Louisville, KY 40211-1370
Phone
(502) 742-2300
Fax
(501) 742-2032
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Jerome Johannes
Title
Owner
Phone
(502) 742-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X KY Primary

Addresses

Primary practice location

2600 W Broadway Ste 208
Louisville, KY 40211-1370

Mailing address

2600 W Broadway Ste 208
Louisville, KY 40211-1370
Phone (502) 742-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1700159043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W BROADWAY STE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111370",
            "telephone_number": "502-742-2300",
            "fax_number": "501-742-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W BROADWAY STE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111370",
            "telephone_number": "502-742-2300",
            "fax_number": "501-742-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY REHABILITATION 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-742-2300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "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 Feb 16, 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.