METRO PROVIDERS PLLC NPI 1811152713

NPI Information

  • NPI: 1811152713
  • Provider Name: METRO PROVIDERS, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: DYNAMIC MEDICAL & REHAB
  • Address: 3707 CHAMBERLAIN LN
    SUITE 101
    LOUISVILLE, KY
    ZIP 40241
  • Phone: (502) 426-9200

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NPI Details

METRO PROVIDERS, PLLC is a general practice in Louisville, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee METRO PROVIDERS, PLLC NPI is 1811152713. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dynamic Medical & Rehab.

The provider's business location address is:

3707 CHAMBERLAIN LN
SUITE 101
LOUISVILLE, KY
ZIP 40241-001
Phone: (502) 426-9200
Fax: (502) 426-9259

The provider's authorized official is Mark T Henderson .
The authorized official title is Owner and has the following contact phone number (502) 426-9200.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 9/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4390KENTUCKYNo
2208D00000XGeneral Practice33009KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10645501MEDICARE PINKENTUCKY
2G76361MEDICARE UPIN
364330095MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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