| Rehabilitation Specialists Of Kentuckiana Pllc | |
|
1599 Persimmon Ridge Dr Louisville KY 40245-7007 | |
| (502) 551-8305 | |
| Not Available |
| Full Name | Rehabilitation Specialists Of Kentuckiana Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1599 Persimmon Ridge Dr, Louisville, Kentucky |
| Authorized Official Name and Position | Robert Thompson (OWNER/MD) |
| Authorized Official Contact | 5025518305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Specialists Of Kentuckiana Pllc 1599 Persimmon Ridge Dr Louisville KY 40245-7007 Ph: (502) 551-8305 | Rehabilitation Specialists Of Kentuckiana Pllc 1599 Persimmon Ridge Dr Louisville KY 40245-7007 Ph: (502) 551-8305 |
| NPI Number | 1134761653 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 3476986621 |
|---|---|
| Medicare Enrollment ID | O20191203000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134761653 | NPI | - | NPPES |
| 7100505590 | Medicaid | KY |
| Provider Name | Robert Lee Thompson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912901752 PECOS PAC ID: 0840103305 Enrollment ID: I20040323000174 |
| Provider Name | Jessica L Dsouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932355260 PECOS PAC ID: 6800963604 Enrollment ID: I20080919000546 |
| Provider Name | Christine D Grass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639428519 PECOS PAC ID: 6800045253 Enrollment ID: I20121001000121 |
| Provider Name | Annamarie L Heink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467787705 PECOS PAC ID: 8921342353 Enrollment ID: I20190218002703 |
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