Emerge Rehab & Wellness,LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EMERGE REHAB & WELLNESS,LLC

Practice address

3501 Fenwick Park PL Apt F
Louisville, KY 40220-5844

Phone

(606) 584-9999

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Miss Raissa Jewell Smith, OTR/L

Title

Occupational Therapist/Owner

Phone

(606) 584-9999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1962036210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FENWICK PARK PL APT F",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205844",
            "telephone_number": "606-584-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FENWICK PARK PL APT F",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205844",
            "telephone_number": "606-584-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE REHAB & WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RAISSA",
        "authorized_official_middle_name": "JEWELL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "606-584-9999",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Embry, APRN
• Brady Embry, OTR/L
• Kelsey Embry
• Lena Embry, LCSW
• Robin Embry
• Emerge TX LLC
• Emergency Medical Associates, PSC
• Alexandria Emerich, BCBA, LBA
• Emeritus Corporation
• Alexander George Emerson, MD

• Multi-Specialty Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.