Rehabilitation Institute PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

30614 Issued in KY

Legal business name

REHABILITATION INSTITUTE PLLC

Practice address

3103 Breckenridge LN
Suite 1
Louisville, KY 40220-2798

Phone

(502) 495-5055

Fax

(502) 495-5057

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Swati M Daftary, MDNPI 1225180896

Title

MD

Phone

(502) 495-5055

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Tax ID family

Rehabilitation Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rehabilitation Institute

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1255537908
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swati Mayur Daftary, MD

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
  • NPI 1225180896

  IN

  Medicare reassignment Care Compare group NPD Authorized official
• Laura Jean Johnson, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1164986576
  Medicare reassignment Care Compare group NPD
• Katherine Redmon, APRN

  • Family Nurse Practitioner
  • Shepherdsville, KY
  • NPI 1619359387
  Medicare reassignment NPD
• Lisa D Bell, APRN

  • Nurse Practitioner
  • Edinburgh, IN
  • NPI 1720416894
  NPD
• Domingo Rolando Palencia Bicaldo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Edwards Afb, CA
  • NPI 1316921497
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1861580177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BRECKENRIDGE LN",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202798",
            "telephone_number": "502-495-5055",
            "fax_number": "502-495-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BRECKENRIDGE LN",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202798",
            "telephone_number": "502-495-5055",
            "fax_number": "502-495-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "DAFTARY",
        "authorized_official_first_name": "SWATI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "502-495-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "30614",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3003332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941684",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Associates
• Rehabilitation Associates, PSC
• Rehabilitation Hospital of Louisville East LLC
• Rehabilitation Hospital of Louisville, LLC
• Rehabilitation Institute
• Rehabilitation Services PSC
• Rehabilitation Specialists of Kentuckiana PLLC
• Rachelle Lyn Rehbaum, OTR/L
• Dorothy Rehm
• Mark E Rehm, LCSW

• Physical Medicine & Rehabilitation Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.