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General NPI Number Information
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NPI Number | 1558279232
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Entity Type | Organization
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Legal Business Name | APEX SPORT & SPINE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 1930 BISHOP LN STE 130
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City | LOUISVILLE
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State | KY
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Zip | 40218-1962
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Country | US
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Telephone | 424-303-1106
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 BISHOP LN STE 130
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City | LOUISVILLE
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State | KY
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Zip | 40218-1962
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Country | US
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Telephone | 424-303-1106
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER RENE JIMENEZ
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Credential |
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Telephone | 424-303-1106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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