Organization Active NPI

Active Day

  • Physical Therapy Clinic/Center
  • Louisville, KY
National Provider Identifier
1962653964
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT001369 Issued in KY
Legal business name
ACTIVE DAY
Practice address
3403 Breckenridge LN
Louisville, KY 40220-3101
Phone
(502) 896-1444
NPI assigned
Oct 8, 2008
Organization subpart
Yes
Parent organization
ACTIVE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mrs. Linda Sue Moberly, PT
Title
Physical Therapist
Phone
(502) 896-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT001369 KY Primary

Addresses

Primary practice location

3403 Breckenridge LN
Louisville, KY 40220-3101

Mailing address

3403 Breckenridge LN
Louisville, KY 40220-3101
Phone (502) 896-1444

National Provider Directory

National Provider Directory
Tax ID family
Active Day Inc2 organizations share this tax ID, including this one
Part of
Active Day Inc

Other organizations with this tax ID 1

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

Locations

3403 Breckenridge Ln
Louisville, KY 40220
Phone (502) 869-1444

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1962653964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203101",
            "telephone_number": "502-896-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203101",
            "telephone_number": "502-896-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE SERVICES",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MOBERLY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "502-896-1444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "PT001369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.