Active NPI
Active Day Ky, Inc.
- Rehabilitation Clinic/Center
- Louisville, KY
National Provider Identifier
1831234483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.