Age in Place LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

AGE IN PLACE LLC

Practice address

1333 Cardinal Way
Bowling Green, KY 42103-1511

Phone

(908) 377-8137

NPI assigned

Apr 23, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Kearny, OTR/LNPI 1225320724

Title

Occupational Therapist

Phone

(908) 377-8137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

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.

• Lisa Corinne Kearny, OT

  • Occupational Therapist
  • New York, NY
  • NPI 1225320724

  KY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1831944792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CARDINAL WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031511",
            "telephone_number": "908-377-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CARDINAL WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031511",
            "telephone_number": "908-377-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE IN PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "KEARNY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "908-377-8137",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Adkins, PA-C
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• Stephanie L Adwell, KCSA
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• Priscilla Aguilar
• Joseph Aguirre III, DO
• Rasim Ahmetovic

• Rehabilitation Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.