NPIMap

Organization Active NPI

Bluegrass Outpatient Center of Bowling Green, L.L.C.

Doing business as Bluegrass Outpatient Center

  • Rehabilitation Clinic/Center
  • Bowling Green, KY
National Provider Identifier
1760411342
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
100615 Issued in KY
Legal business name
BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, L.L.C.
Doing business as
Bluegrass Outpatient Center
Practice address
1751 Scottsville Rd Ste 9
Bowling Green, KY 42104-3357
Phone
(270) 796-6850
Fax
(270) 781-8228
NPI assigned
Jul 3, 2006
Last updated
Jun 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Authorized official

Name
Michele W Lawless
Title
Executive Vice President
Phone
(270) 745-1500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X 100615 KY Primary

Addresses

Primary practice location

1751 Scottsville Rd Ste 9
Bowling Green, KY 42104-3357

Mailing address

PO Box 117929
Atlanta, GA 30368-7929
Phone (270) 745-1100

Other names 1

  • BLUEGRASS OUTPATIENT CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121113000266 KY Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9133298326 Practice locations: Bowling Green, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760411342. Details of each certification follow.

  • CCN 186669 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 186669

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BLUEGRASS OUTPATIENT CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 8, 2013
Last certification
May 4, 2016
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
1751 Scottsville Road, Suite 10
Bowling Green, KY 42104

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1110 Wilkinson Trce
Ste 1
Bowling Green, KY 42103
Phone (270) 796-6800

1751 Scottsville Rd
Ste 9
Bowling Green, KY 42104
Phone (270) 796-6800

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1760411342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117929",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687929",
            "telephone_number": "270-745-1100",
            "fax_number": "270-745-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SCOTTSVILLE RD STE 9",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043357",
            "telephone_number": "270-796-6850",
            "fax_number": "270-781-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "270-745-1500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "100615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEGRASS OUTPATIENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLUEGRASS OUTPATIENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.