PHOENIX REHAB, LLC


Address: 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217
Phone: 2077810028

PHOENIX REHAB, LLC (NPI# 1437332178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437332178
Entity Type Organization
Organization Name PHOENIX REHAB, LLC
Practice Address 1600 Scottsville Rd
Suite 101
Bowling Green
KY 42104-3217
Mailing Address 136 Saint Matthews Ave
Suite 300
Louisville
KY 40207-3191
Practice Telephone 2077810028
Mailing Telephone 5028971700
Mailing Fax Number 5028971798
Enumeration Date 2007-12-17
Last Update Date 2007-12-17
Authorized Official Name MR. REX A. PAGGEOT (CFO)
Authorized Official Telephone 7277097701
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
101011 KY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760748248 Phoenix Rehab, LLC Skilled Nursing Facility 1021 Charles Page Blvd, Ste 200, Tulsa, OK 74127-8815 2012-04-09

Office Location

Street Address 1600 SCOTTSVILLE RD
SUITE 101
City BOWLING GREEN
State KY
Zip Code 42104-3217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841261914 Phoenix Rehab Group, LLC Clinic/Center 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2006-01-27
1710435862 Dr Syed A Khader Pllc Durable Medical Equipment & Medical Supplies 1600 Scottsville Rd, Ste 301, Bowling Green, KY 42104-3217 2016-09-19
1437488111 Toni D. Sibalich Physical Therapist 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2009-12-09
1720220676 Kelley J Manning Speech-Language Pathologist 1600 Scottsville Rd, Suite 300, Bowling Green, KY 42104-3217 2009-03-24
1306093190 Rhonda Y. Pryor Speech-Language Pathologist 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2008-08-22
1275780413 Claire K. Klein Physical Therapist 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2008-08-19
1518113638 Jennifer A Simmons Speech-Language Pathologist 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2008-08-08
1417036575 Regional Child Development Clinics Day Training, Developmentally Disabled Services 1600 Scottsville Rd, Suite 100, Bowling Green, KY 42104-3217 2006-11-02
1821173543 Carl L. Myers Psychologist 1600 Scottsville Rd, Suite 100, Bowling Green, KY 42104-3217 2006-10-25
1124039342 Almira M. Ulat Physical Therapist 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2006-08-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144636986 Western Kentucky University Speech Clinic Clinic/Center 104 Alumni Ave, Bowling Green, KY 42101-3404 2014-07-01
1669510517 Acsr, Inc. Clinic/Center 946 Searcy Way, Unit B, Bowling Green, KY 42103-7168 2007-02-02
1841261914 Phoenix Rehab Group, LLC Clinic/Center 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 2006-01-27
1548631104 Fostoria Hospital Association Clinic/Center 1180 N Main St, Suite 1 & 2, Bowling Green, OH 43402-1388 2015-10-08
1861754640 Heritage Corner Therapy, LLC Clinic/Center 1069 Klotz Rd, Bowling Green, OH 43402-4828 2012-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669070363 Kentucky Rehabilitation Services Inc Clinic/Center 2010 N Bend Rd, Hebron, KY 41048-8003 2020-10-14
1740809045 Sn Kentuckiana Rehab, LLC Clinic/Center 3509 S Hurstbourne Pkwy, Louisville, KY 40299-1364 2020-04-16
1568001493 Champion Physical Therapy Kentucky LLC Clinic/Center 440 W Cumberland Gap Pkwy, Corbin, KY 40701-4819 2019-12-23
1942843610 Uofl Health-louisville Inc Clinic/Center 6801 Dixie Hwy # 189, Louisville, KY 40258-3913 2019-10-24
1942843602 Uofl Health-louisville Inc Clinic/Center 100 High Rise Dr Ste 110, Louisville, KY 40213-3251 2019-10-24
1891338554 Uofl Health-louisville Inc Clinic/Center 1905 W Hebron Ln Ste 106, Shepherdsville, KY 40165-7466 2019-10-24
1033752704 Uofl Health-louisville Inc Clinic/Center 3430 Newburg Rd Ste 111a, Louisville, KY 40218-2497 2019-10-24
1962045625 Uofl Health-louisville Inc Clinic/Center 4912 Us Highway 42 Ste 104, Louisville, KY 40222-6357 2019-10-24
1679116347 Uofl Health-louisville Inc Clinic/Center 2401 Terra Crossing Blvd # 204, Louisville, KY 40245-5395 2019-10-24
1104469873 Uofl Health-louisville Inc Clinic/Center 4801 Olympia Park Plz Ste 1600, Louisville, KY 40241-2095 2019-10-24
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Competitor

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

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.

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