SELECT PHYSICAL THERAPY OF LOUISVILLE LTD (NPI# 1326008103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326008103 |
Entity Type | Organization |
Organization Name | SELECT PHYSICAL THERAPY OF LOUISVILLE LTD |
Practice Address |
12935 Shelbyville Rd Louisville KY 40243 |
Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055 |
Practice Telephone | 5024895002 |
Practice Fax Number | 5024898002 |
Mailing Telephone | 7179721100 |
Mailing Fax Number | 7179759781 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2010-09-01 |
NPI Deactivation Date | 12/07/2007 |
NPI Reactivation Date | 2008-02-06 |
Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
Authorized Official Telephone | 7179721100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
KY | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285694067 | Select Physical Therapy of Louisville Ltd | Clinic/Center | 1227 Goss Ave, Louisville, KY 40217 | 2006-03-24 |
Street Address |
12935 SHELBYVILLE RD |
City | LOUISVILLE |
State | KY |
Zip Code | 40243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356760367 | Christopher Distler | Physical Therapist | 12935 Shelbyville Rd, Louisville, KY 40243-1592 | 2014-04-08 |
1265761134 | Jonathan Beougher | Physical Therapist | 12935 Shelbyville Rd, St #106, Louisville, KY 40243-1592 | 2009-12-23 |
1083851786 | Crystal Lee Joice | Physical Therapist | 12935 Shelbyville Rd, Suite 106, Louisville, KY 40243-1592 | 2009-01-16 |
1194823997 | Regina White Durbin | Physical Therapist | 12935 Shelbyville Rd, Louisville, KY 40243-1592 | 2006-09-20 |
1538119383 | Kevin M Brown | Specialist/Technologist | 12935 Shelbyville Rd, Suite 106, Louisville, KY 40243-1592 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
Find all providers in zip 40243 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134743396 | The Female Athlete Physio, LLC | Clinic/Center | 3705 Grandview Ave, Louisville, KY 40207-3711 | 2020-06-03 |
1649808114 | Confluent Health LLC | Clinic/Center | 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 | 2020-03-31 |
1346871571 | Inspire Physical Therapy, LLC | Clinic/Center | 14901 Forest Oaks Dr, Louisville, KY 40245-6509 | 2020-01-27 |
1205470770 | Pain and Performance Solutions LLC | Clinic/Center | 102 Daventry Ln Ste 5, Louisville, KY 40223-2869 | 2019-10-29 |
1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
1811408743 | Oasis Women's Health Physical Therapy LLC | Clinic/Center | 3199 Miday Ave, Louisville, OH 44641-8934 | 2017-10-18 |
1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
1235588815 | Agilitas Usa, Inc | Clinic/Center | 9038 Taylorsville Rd Ste 13, Louisville, KY 40299-1750 | 2016-06-06 |
1851751473 | Professional Physical Therapy Clinic LLC | Clinic/Center | 3415 Bardstown Rd Ste 307, Louisville, KY 40218-4633 | 2016-02-24 |
1063809135 | Prorehab of Louisville, LLC | Clinic/Center | 3630 Brownsboro Rd, Louisville, KY 40207-1861 | 2015-04-16 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40243 |
Please comment or provide details below to improve the information on SELECT PHYSICAL THERAPY OF LOUISVILLE LTD.
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.