Organization Active NPI

Wisdom & Health Rehab Centre LLC

  • Physical Therapy Clinic/Center
  • Louisville, KY
National Provider Identifier
1811232705
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
056-06-5458(1) Issued in KY
Legal business name
WISDOM & HEALTH REHAB CENTRE LLC
Practice address
4113 Bardstown Rd
Suite 101a
Louisville, KY 40218-3293
Phone
(502) 712-1749
Fax
(502) 491-0492
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Mr. Andrew Morrice Nankwenya Jr.
Title
President
Phone
(502) 712-1749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 056-06-5458(1) KY Primary

Addresses

Primary practice location

4113 Bardstown Rd
Suite 101a
Louisville, KY 40218-3293

Mailing address

4113 Bardstown Rd
Suite 101a
Louisville, KY 40218-3293
Phone (502) 712-1749

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1811232705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BARDSTOWN RD",
            "address_2": "SUITE 101A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183293",
            "telephone_number": "502-712-1749",
            "fax_number": "502-491-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BARDSTOWN RD",
            "address_2": "SUITE 101A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183293",
            "telephone_number": "502-712-1749",
            "fax_number": "502-491-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM & HEALTH REHAB CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "NANKWENYA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MORRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-712-1749",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "056-06-5458(1)",
            "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 May 6, 2013; 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.