PROREHAB OF BOWLING GREEN (WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES PLLC) NPI 1982968533

Clinic/Center (Physical Therapy) in Bowling Green, KY

NPI 1982968533 Organization Clinic/Center Physical Therapy

About PROREHAB OF BOWLING GREEN (WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES PLLC)

Prorehab Of Bowling Green (western Kentucky Orthopaedic And Neurosurgical Associates Pllc) is a provider established in Bowling Green, Kentucky specializing in clinic/center (physical therapy) . The NPI number of Prorehab Of Bowling Green (western Kentucky Orthopaedic And Neurosurgical Associates Pllc) is 1982968533 and was assigned on June 2012. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Prorehab Of Bowling Green. The authorized official of this NPI record is Jackie Walker (Administrator)

NPI

1982968533

Provider NamePROREHAB OF BOWLING GREEN (WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES PLLC)
Provider Location Address165 NATCHEZ TRACE AVE SUITE 200 BOWLING GREEN, KY 42103
Provider Mailing Address165 NATCHEZ TRACE AVE SUITE 100 BOWLING GREEN, KY 42103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePROREHAB OF BOWLING GREEN
Other Name TypeDoing Business As (3)
Enumeration Date06-28-2012
Last Update Date09-18-2014


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Business Address

PROREHAB OF BOWLING GREEN
165 NATCHEZ TRACE AVE
SUITE 200
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 782-7800
Fax: (270) 783-5211

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Mailing Address

PROREHAB OF BOWLING GREEN
165 NATCHEZ TRACE AVE
SUITE 100
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 782-7800
Fax: (270) 783-5211



Authorized Official

Authorized Official Name JACKIE WALKER
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(270) 782-7800

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699769869 RENE ALBERT BOUCHER DO
Individual
Pain Medicine (Interventional Pain Medicine)165 NATCHEZ TRACE AVE SUITE 205
BOWLING GREEN, KY 42103
(270) 282-2024
1235117490DR. WILLIAM A SCHWANK M.D.
Individual
Specialist165 NATCHEZ TRACE AVE SUITE 100
BOWLING GREEN, KY 42103
(270) 782-7800
1649348277MR. RYAN CARL TRONBAK O.T.
Individual
Occupational Therapist165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1467688911 JUANITA G JOHNSON OT
Individual
Occupational Therapist165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1245593037WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES, PLLC
Organization
Durable Medical Equipment & Medical Supplies165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1043528821 DAWN SLAUGHTER NP
Individual
Nurse Practitioner165 NATCHEZ TRACE AVE STE 205
BOWLING GREEN, KY 42103
(270) 282-2024
1013251370 PAULA DEVORE APRN
Individual
Nurse Practitioner165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
(270) 282-2024
1942555487 MELISSA A TOLBERT DPT
Individual
Physical Therapist165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1588943849MS. JACQUELINE KAY PARDUE APRN
Individual
Registered Nurse165 NATCHEZ TRACE AVE STE 205
BOWLING GREEN, KY 42103
(270) 282-2024
1619968476 JOHN B MCALISTER PT
Individual
Physical Therapist165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1750366175 BETHANY D RICHERSON MPT
Individual
Physical Therapist165 NATCHEZ TRACE AVE STE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1831421957 ABBY ELIZABETH ERION DPT
Individual
Physical Therapist165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1417366402MISS REBECCA GRAYSON PT
Individual
Physical Therapist165 NATCHEZ TRACE AVE STE 200
BOWLING GREEN, KY 42103
(270) 782-7800
1558764928 RITA WILSON APRN
Individual
Nurse Practitioner165 NATCHEZ TRACE AVE SUITE 205
BOWLING GREEN, KY 42103
(270) 282-2024
1033356274INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC
Organization
Anesthesiology (Pain Medicine)165 NATCHEZ TRACE AVE SUITE 205
BOWLING GREEN, KY 42103
(270) 393-1912
1023300191WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES
Organization
Clinic/Center165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 782-7800
1801145230 HEATHER MORRISON APRN
Individual
Nurse Practitioner165 NATCHEZ TRACE AVE SUITE 205
BOWLING GREEN, KY 42103
(270) 282-2024
1679812382 JOSHUA RAY WRIGHT ATC
Individual
Specialist/Technologist (Athletic Trainer)165 NATCHEZ TRACE AVE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1205292257 JONATHAN REED PACKER DPT
Individual
Physical Therapist165 NATCHEZ TRACE AVE SUITE 200
BOWLING GREEN, KY 42103
(270) 796-4698
1881998490 JAMES RALPH HELTSLEY JR. D.O.
Individual
Orthopaedic Surgery165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
(270) 782-7800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.