PHOENIX REHAB GROUP, LLC (NPI# 1841261914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841261914 |
| Entity Type | Organization |
| Organization Name | PHOENIX REHAB GROUP, LLC |
| Practice Address |
1600 Scottsville Rd Suite 101 Bowling Green KY 42104-3217 |
| Mailing Address |
Po Box 391 Bowling Green KY 42102-0391 |
| Practice Telephone | 2707810028 |
| Practice Fax Number | 2707810007 |
| Mailing Telephone | 2707810028 |
| Mailing Fax Number | 2707810007 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. BRAD NORMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2707810028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
101011 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM GROUP SLP | 000000375294 | 01 |
| KY | ANTHEM GROUP OT | 000000337293 | 01 |
| KY | FIRST HEALTH | 2224590 | 01 |
| KY | 88900071 | 05 | |
| KY | ANTHEM GROUP PT | 000000375301 | 01 |
| KY | 87900817 | 05 | |
| KY | 91000042 | 05 |
| Street Address |
1600 SCOTTSVILLE RD SUITE 101 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1437332178 | Phoenix Rehab, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2007-12-17 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 |
| 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 |
| 1437332178 | Phoenix Rehab, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2007-12-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.