NPIMap

Organization Active NPI

Wellness Medical and Rehabilitation Center,Inc

  • Health Service Clinic/Center
  • Louisville, KY
National Provider Identifier
1962839845
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
36067 Issued in KY
Legal business name
WELLNESS MEDICAL AND REHABILITATION CENTER,INC
Practice address
4229 Bardstown Rd
Louisville, KY 40218-3241
Phone
(502) 499-4156
Fax
(502) 499-4170
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Arles Perdomo, M.D
Title
President
Phone
(502) 499-4156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 39869 KY
Health Service Clinic/Center 261QH0100X 36067 KY Primary

Addresses

Primary practice location

4229 Bardstown Rd
Louisville, KY 40218-3241

Mailing address

4229 Bardstown Rd
Louisville, KY 40218-3241
Phone (502) 499-4156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1962839845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183241",
            "telephone_number": "502-499-4156",
            "fax_number": "502-499-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183241",
            "telephone_number": "502-499-4156",
            "fax_number": "502-499-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL AND REHABILITATION CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "ARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-499-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "39869",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "36067",
            "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 Nov 18, 2013; 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.