Psychiatry & Neurology, Neurology
DYNAMIC MEDICAL AND REHAB PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417256710 · enumerated 2011-03-25 · record updated 2021-08-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. BLAINE LISNER MD, MD/Owner · (502) 426-9200
Addresses and phones
- Practice location 3747 DIANN MARIE RD, LOUISVILLE, KY, 40241 (502) 426-9200 Fax (502) 426-9259 Google Maps Apple Maps OpenStreetMap
- Mailing address 3747 DIANN MARIE RD, LOUISVILLE, KY, 40241 (502) 426-9200 Fax (502) 426-9259 Google Maps Apple Maps OpenStreetMap
Specialties
- Chiropractor 111N00000X
- Specialist 174400000X
- Durable Medical Equipment & Medical Supplies 332B00000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X
- Psychiatry & Neurology, Neurology 2084N0400X · Primary
In this directory
KY Jefferson County Louisville Psychiatry & Neurology, Neurology
Locations and evidence
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Practice location
LOUISVILLE, KY, 40241
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.