Active NPI
Prorehab Inc
- Physical Therapy Clinic/Center
- Bowling Green, KY
National Provider Identifier
1962052043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PROREHAB INC
- Practice address
- 2625 Nashville Rd Ste 102
Bowling Green, KY 42101-4027 - Phone
- (866) 922-1162
- Fax
- (833) 294-8725
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea L. Baumann
- Title
- Coo
- Phone
- (812) 759-7473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2625 Nashville Rd Ste 102
Bowling Green, KY 42101-4027
Mailing address
PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1945 Scottsville Rd
Ste A3
Bowling Green, KY 42104
Phone (270) 393-9393
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bowling Green, KY
- NPI 1588478812
-
- Physical Therapist
- Bowling Green, KY
- NPI 1104701127
-
- Physical Therapist
- Henderson, KY
- NPI 1497578520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1962052043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5629",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477165629",
"telephone_number": "812-759-7476",
"fax_number": "812-909-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 NASHVILLE RD STE 102",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014027",
"telephone_number": "866-922-1162",
"fax_number": "833-294-8725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROREHAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "BAUMANN",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "812-759-7473"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.