Healthcare Provider Details

I. General information

NPI: 1427019199
Provider Name (Legal Business Name): WILLIAM EISNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 DIXIE HWY SUITE 122
LOUISVILLE KY
40216-2986
US

IV. Provider business mailing address

4420 DIXIE HWY SUITE 122
LOUISVILLE KY
40216-2986
US

V. Phone/Fax

Practice location:
  • Phone: 502-802-8060
  • Fax: 502-449-9062
Mailing address:
  • Phone: 502-802-8060
  • Fax: 502-449-9062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number05007955A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070022541
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number003233
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: