Age in Place LLC
Organization Active NPI Rehabilitation Clinic/Center · Bowling Green, KY
NPI 1831944792 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1831944792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Lisa Kearny, OTR/L
- Title
- Occupational Therapist
- Phone
- (908) 377-8137
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240618001415 | KY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7315480449 |
Receives reassigned benefits from 1 practitioner Practice locations: Bowling Green, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
1333 Cardinal Way
Bowling Green, KY 42103-1511
Mailing address
1333 Cardinal Way
Bowling Green, KY 42103-1511
Phone (908) 377-8137
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All providers in Bowling Green, KY · Rehabilitation Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.