Organization Active NPI

Active Day Ky, Inc.

  • Rehabilitation Clinic/Center
  • Louisville, KY
National Provider Identifier
1831234483
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ACTIVE DAY KY, INC.
Practice address
3403 Breckenridge LN
Louisville, KY 40220-3101
Phone
(502) 896-1444
Fax
(502) 893-0095
NPI assigned
Feb 21, 2007
Organization subpart
Yes
Parent organization
ACTIVE DAY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Kris W. Baldock
Title
Chairman, Ceo, President
Phone
(443) 548-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3403 Breckenridge LN
Louisville, KY 40220-3101

Mailing address

400 Redland CT
Suite 114
Owings Mills, MD 21117-3270
Phone (443) 548-2200

Other names 1

  • Active Day of Louisville Hikes Point OPT Doing business as

National Provider Directory

National Provider Directory
Part of
Active Day Inc

Locations

1238 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 763-9192

2432 Regency Rd
Lexington, KY 40503
Phone (859) 278-2053

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1831234483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REDLAND CT",
            "address_2": "SUITE 114",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173270",
            "telephone_number": "443-548-2200",
            "fax_number": "443-548-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203101",
            "telephone_number": "502-896-1444",
            "fax_number": "502-893-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY KY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY INC.",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHAIRMAN, CEO, PRESIDENT",
        "authorized_official_telephone_number": "443-548-2201"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Louisville Hikes Point OPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 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.