Bluegrass Physical Therapy & Rehabilitation Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

001500 Issued in KY

Legal business name

BLUEGRASS PHYSICAL THERAPY & REHABILITATION INC.

Practice address

13 Oblique St
Florence, KY 41042-1927

Phone

(859) 371-1929

Fax

(859) 371-2581

NPI assigned

Jan 11, 2008

Last updated

Jul 27, 2009By 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

Mr. Dale Brockman, PHYSCIAL THERAPYNPI 1043318371

Title

Physical Therapist

Phone

(859) 371-1929

Specialties & licenses 1

Addresses

Locations

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.

• Dale B Brockman, PT

  • Physical Therapist
  • Florence, KY
  • NPI 1043318371
  Authorized official Same address or phone

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1952587719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 OBLIQUE ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421927",
            "telephone_number": "859-371-1929",
            "fax_number": "859-371-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 OBLIQUE ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421927",
            "telephone_number": "859-371-1929",
            "fax_number": "859-371-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS PHYSICAL THERAPY & REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "859-371-1929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSCIAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Blevins, BCBA
• Sydney Paige Blevins, BA
• Kelsey Renee Block, APRN
• Bluegrass Healthcare Consultants L.L.C. (Florence Medical Pharmacy)
• Bluegrass Medical Practitioners Inc.
• Allyson R. Blythe, LCSW
• Andrew Michael Board, PHARMD
• Taylor Rae Boehmer, MSN, APRN, FNP-C
• Jessica Bokelman, DO
• Nikki D Bonhaus, DO

• Specialist in Florence, KY
• Providers in Florence, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.