CHAD WALTERS,DO, LLC (NPI# 1154684785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154684785 |
| Entity Type | Organization |
| Organization Name | CHAD WALTERS,DO, LLC |
| Other Organization Name | NEURO REHAB SPECIALISTS |
| Practice Address |
4400 Breckenridge Ln Ste 124 Louisville KY 40218-4135 |
| Practice Telephone | 5024919590 |
| Practice Fax Number | 5024919592 |
| Mailing Telephone | 5024919590 |
| Mailing Fax Number | 5024919592 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | LIZ ZIRNHELD (OFFICE MANAGER) |
| Authorized Official Telephone | 5024919590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 03009 | KY | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Neuro Rehab Specialists | Doing Business As Name - Organization |
| Street Address |
4400 BRECKENRIDGE LN STE 124 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622680 | Larry Stewart Myers | Psychiatry & Neurology | 4400 Breckenridge Ln, Suite 115, Louisville, KY 40218-4082 | 2005-07-08 |
| 1427421692 | Leo D. Hobbs | Counselor | 4400 Breckenridge Ln, Ste 126, Louisville, KY 40218-4135 | 2015-11-10 |
| 1245608199 | Dexter Thompson Jr. | Social Worker | 4400 Breckenridge Ln, Louisville, KY 40218-4135 | 2015-09-09 |
| 1700201977 | New Beginnings Education and Counseling Center, Inc. | Counselor | 4400 Breckenridge Ln, Suite # 126, Louisville, KY 40218-4135 | 2014-02-25 |
| 1902196918 | Rayna L. Nelson | Social Worker | 4400 Breckenridge Ln, 100, Louisville, KY 40218-4135 | 2011-04-11 |
| 1598944035 | Jessica Zizzo | Social Worker | 4400 Breckenridge Ln, Louisville, KY 40218-4082 | 2007-11-01 |
| 1821282674 | Renee Brusie | Rehabilitation Practitioner | 4400 Breckenridge Ln, 1st Flr - 228, Louisville, KY 40218-4082 | 2007-09-04 |
| 1720278039 | Ladonna Genenwein | Social Worker | 4400 Breckenridge Ln, 1st Floor, Louisville, KY 40218-4082 | 2007-08-01 |
| 1073720199 | Anthony Mikosz | Counselor | 4400 Breckenridge Ln, 1st Floor, Louisville, KY 40218-4082 | 2007-05-17 |
| 1639385412 | Chadwick A Walters | Physical Medicine & Rehabilitation | 4400 Breckenridge Ln, Suite 124, Louisville, KY 40218-4135 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1083124366 | Kentuckiana Pain Specialist Ambulatory Surgery Center | Specialist | 3710 Chamberlain Ln Ste B, Louisville, KY 40241-2002 | 2017-10-02 |
| 1902345994 | Hps Kentucky LLC | Specialist | 444 Sourth First Street, Louisville, KY 40202 | 2017-02-23 |
| 1134578032 | Fernando Pajo Jr. | Specialist | 5007 Old Federal Rd, Louisville, KY 40207-1200 | 2016-06-10 |
| 1144616749 | James David Dorneman Jr. | Specialist | 4346 Bowling Blvd, Louisville, KY 40207-5405 | 2015-04-09 |
| 1609269414 | Preston Medical Center | Specialist | 927 S 3rd St, Louisville, KY 40203-2215 | 2015-03-18 |
| 1821437468 | Cordelia Marie Devine | Specialist | 1100 Envoy Cir, Suite 1105, Louisville, KY 40299-1960 | 2013-06-17 |
| 1154765550 | Therapy Associates of Louisville, LLC | Specialist | 4810 Poplar Place Dr Ste 100, Louisville, KY 40213-2383 | 2013-04-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.