NPIMap

Organization Active NPI

Redwood School & Rehabilitation Center, Inc

  • Physical Therapist
  • Ft Mitchell, KY
National Provider Identifier
1992255772
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100464 Issued in KY
Legal business name
REDWOOD SCHOOL & REHABILITATION CENTER, INC
Practice address
71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone
(859) 331-0880
Fax
(859) 331-6177
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Mrs. Pam Green
Title
Ceo
Phone
(859) 331-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 100464 KY Primary

Addresses

Primary practice location

71 Orphanage Rd
Ft Mitchell, KY 41017-3006

Mailing address

71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone (859) 331-0880

Other identifiers 1

IdentifierTypeStateIssuer
7100433480MedicaidKY

Other names 1

  • Easterseals Redwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrobinson@eastersealsredwood.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Easterseals Redwood8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1992255772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880",
            "fax_number": "859-331-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880",
            "fax_number": "859-331-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SCHOOL & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2022-11-17",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-331-0880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "100464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100433480",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrobinson@eastersealsredwood.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "71 Orphanage Rd",
            "city": "Ft Mitchell",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410173006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Easterseals Redwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.