Organization Active NPI

At Home Physical Therapy

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1700970316
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000923 Issued in KY
Legal business name
AT HOME PHYSICAL THERAPY
Practice address
512 Vineleaf Dr
Louisville, KY 40222-4691
Phone
(502) 420-0901
Fax
(502) 420-0901
NPI assigned
Oct 3, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Tamara D Husted, P.T.NPI 1770678112
Title
Owner
Phone
(502) 420-0901

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
Physical Therapist 225100000X 000923 KY Primary

Addresses

Primary practice location

512 Vineleaf Dr
Louisville, KY 40222-4691

Mailing address

512 Vineleaf Dr
Louisville, KY 40222-4691
Phone (502) 420-0901

Other identifiers 1

IdentifierTypeStateIssuer
000000295673OtherKYANTHEM GROUP PIN NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1700970316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VINELEAF DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224691",
            "telephone_number": "502-420-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VINELEAF DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224691",
            "telephone_number": "502-420-0901",
            "fax_number": "502-420-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "HUSTED",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-420-0901",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "000923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP PIN NUMBER",
            "identifier": "000000295673",
            "state": "KY"
        }
    ],
    "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 Sep 20, 2007; 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.