MEDICARE: THOMPSON & CHOU CENTER FOR PHYSICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	01047580	IN
2	174400000X	Specialist	28184126A	IN
3	174400000X	Specialist	01045575	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	091290	OTHER	IN	MEDICARE GROUP
4	5622	OTHER	KY	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811324494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMPSON & CHOU CENTER FOR PHYSICAL

Provider Business Mailing Address
First Line	:	PO BOX 43905
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40253-0905
Country	:	US
Telephone Number	:	502-583-4700
Fax Number	:	502-583-8434

Provider Business Practice Location Address
First Line	:	1931 WEST ST
Second Line	:	SUITE B
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-5039
Country	:	US
Telephone Number	:	502-583-4700
Fax Number	:	502-583-8434

Authorized Official
Title or Position	:	OWNER
Name	:	RODNEY V. CHOU
Credential	:	M.D.
Telephone Number	:	502-583-4700

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	02/23/2017

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Directions to “THOMPSON & CHOU CENTER FOR PHYSICAL ” Practice Location

Language	Start Address	Practice Location

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