Jim Hisle

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A00825 Issued in KY

Practice address

9127 Galene Dr Ste 4
Louisville, KY 40299-1586

Phone

(502) 896-8147

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Princecare Group

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Louisville, KY
  • NPI 1831316595
  NPD (past) Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1841685666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31218 TUCKER LAKE DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 GALENE DR STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991586",
            "telephone_number": "502-896-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISLE",
        "first_name": "JIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A00825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdullahi Hirsi
• Melissa M Hiser-Kohler, M.D.
• Robin S Hiser, APRN
• Hisham a Alrefai MD PSC
• Ashlie Camille Hisle
• Thomas Hislope, MD
• Gabrielle Hissong, MS
• Kyra Hitchcock, RBT
• Kyle John Hitchman, DO
• Kayla McKenzie Hitsman, RBT

• Physical Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.