Basic Information
Provider Information | |||||||||
NPI: | 1801096839 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | CURRY | ||||||||
FirstName: | RHONDA | ||||||||
MiddleName: | M | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | OT | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 950202 | ||||||||
Address2: |   | ||||||||
City: | LOUISVILLE | ||||||||
State: | KY | ||||||||
PostalCode: | 402950202 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5029696552 | ||||||||
FaxNumber: | 5029693799 | ||||||||
Practice Location | |||||||||
Address1: | 315 E BROADWAY STE 195 | ||||||||
Address2: |   | ||||||||
City: | LOUISVILLE | ||||||||
State: | KY | ||||||||
PostalCode: | 402023700 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5026294263 | ||||||||
FaxNumber: | 5026294283 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/18/2007 | ||||||||
LastUpdateDate: | 03/31/2009 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | R0929 | KY | Y |   | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |   |
ID Information
ID | Type | State | Issuer | Description | 50021445 | 01 | KY | PASSPORT- LOUISVILLE ARM AND HAND | OTHER | R0929 | 01 | KY | KY LICENSE | OTHER | 000000528944 | 01 | KY | ANTHEM- NORTON | OTHER | 200895140 | 01 | KY | MD WISE- LOUISVILLE ARM AND HAND | OTHER | 2989581 | 01 | KY | CIGNA- NORTON | OTHER | 7100037270 | 01 | KY | MEDICAID KY- NORTON LAH | OTHER | 000023028N | 01 | KY | HUMANA- NORTON | OTHER | 3552750000 | 01 | KY | PASSPORT ADVANTAGE- LOUISVILLE ARM AND HAND | OTHER | 200895140 | 01 | IN | MEDICAID - NORTON LAH | OTHER |