Active NPI
Wisdom & Health Rehab Centre LLC
- Physical Therapy Clinic/Center
- Louisville, KY
National Provider Identifier
1811232705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 056-06-5458(1)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.