Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Sports Medicine PLLC

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1497806905

Bluegrass Sports Medicine PLLC is a Neuromusculoskeletal Medicine & OMM Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3920 Dutchmans Ln Ste 314
Louisville, KY 40207-4702
Phone: (502) 895-1489
Fax: (502) 895-1261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 29728 (KY)

Record details

NPI number1497806905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Rennirt — Md · (502) 895-1489
NPI enumeratedJanuary 13, 2007
Last updated in NPPESNovember 15, 2007
Mailing address3920 Dutchmans Ln, Suite 314, Louisville, KY 40207-4702

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