KENTUCKY ORTHOPEDIC REHABILITATION, LLC (NPI# 1033723549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033723549 |
| Entity Type | Organization |
| Organization Name | KENTUCKY ORTHOPEDIC REHABILITATION, LLC |
| Practice Address |
24 Madison Square Dr Madisonville KY 42431-2740 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2708249227 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| KORT - Madisonville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204962 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2017-09-21 |
| 1104922343 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 1909 Campbellsville Rd, Greensburg, KY 42743-7758 | 2006-09-15 |
| 1649885419 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 101 N Eagle Creek Dr, Lexington, KY 40509-1806 | 2020-09-09 |
| 1740894112 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 101 N Eagle Creek Dr, Lexington, KY 40509-1806 | 2020-09-03 |
| 1609480110 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 1126 Triplett St, Owensboro, KY 42303-3158 | 2020-09-02 |
| 1316551831 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 10015 Main St, Whitesville, KY 42378-9557 | 2020-09-02 |
| 1962963371 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 404 Shoppers Dr, Winchester, KY 40391-1378 | 2019-03-28 |
| 1720443625 | Kentucky Orthopedic Rehabilitation, LLC | Prosthetic/Orthotic Supplier | 9880 Angies Way, Suite 100, Louisville, KY 40241-2851 | 2015-12-18 |
| 1801251715 | Kentucky Orthopedic Rehabilitation, LLC | Prosthetic/Orthotic Supplier | 315 E Broadway, #195, Louisville, KY 40202-3700 | 2015-12-18 |
| 1366548596 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 | 2006-09-15 |
| Street Address |
24 MADISON SQUARE DR |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821634049 | Angela Dawn Wolfe | Physical Therapist | 24 Madison Square Dr, Madisonville, KY 42431-2740 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070363 | Kentucky Rehabilitation Services Inc | Clinic/Center | 2010 N Bend Rd, Hebron, KY 41048-8003 | 2020-10-14 |
| 1740809045 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3509 S Hurstbourne Pkwy, Louisville, KY 40299-1364 | 2020-04-16 |
| 1568001493 | Champion Physical Therapy Kentucky LLC | Clinic/Center | 440 W Cumberland Gap Pkwy, Corbin, KY 40701-4819 | 2019-12-23 |
| 1942843610 | Uofl Health-louisville Inc | Clinic/Center | 6801 Dixie Hwy # 189, Louisville, KY 40258-3913 | 2019-10-24 |
| 1942843602 | Uofl Health-louisville Inc | Clinic/Center | 100 High Rise Dr Ste 110, Louisville, KY 40213-3251 | 2019-10-24 |
| 1891338554 | Uofl Health-louisville Inc | Clinic/Center | 1905 W Hebron Ln Ste 106, Shepherdsville, KY 40165-7466 | 2019-10-24 |
| 1033752704 | Uofl Health-louisville Inc | Clinic/Center | 3430 Newburg Rd Ste 111a, Louisville, KY 40218-2497 | 2019-10-24 |
| 1962045625 | Uofl Health-louisville Inc | Clinic/Center | 4912 Us Highway 42 Ste 104, Louisville, KY 40222-6357 | 2019-10-24 |
| 1679116347 | Uofl Health-louisville Inc | Clinic/Center | 2401 Terra Crossing Blvd # 204, Louisville, KY 40245-5395 | 2019-10-24 |
| 1104469873 | Uofl Health-louisville Inc | Clinic/Center | 4801 Olympia Park Plz Ste 1600, Louisville, KY 40241-2095 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on KENTUCKY ORTHOPEDIC REHABILITATION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.