OrganizationActive
Mind, Body & Spirit Fitness, LLC.
NPI 1225263924 · Physical Rehabilitation Occupational Therapist · Louisville, KY
Provider details
- NPI number
- 1225263924
- Entity type
- Organization
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kennesha Green, Occupational Therapist/Ceo(502) 821-5627
- License
- KY-R2776 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8225 Whipps Mill Rd
Louisville, KY 40222-5403
Phone: (502) 821-5627
Street-level locationGet directions
Mailing address
Po Box 16088
Louisville, KY 40256-0088
Registry dates
- Enumerated
- 2009-05-25
- Last updated
- 2009-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.