SN KENTUCKIANA REHAB, LLC (NPI# 1053944900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053944900 |
| Entity Type | Organization |
| Organization Name | SN KENTUCKIANA REHAB, LLC |
| Practice Address |
160 Frankfort Rd Shelbyville KY 40065-9433 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5022578452 |
| Practice Fax Number | 5024370622 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| KORT Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809045 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3509 S Hurstbourne Pkwy, Louisville, KY 40299-1364 | 2020-04-16 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1942867023 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 12101 Sycamore Station Pl Ste 110, Louisville, KY 40299-2114 | 2019-05-23 |
| 1750846515 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3 Audubon Plaza Dr Ste 112, Louisville, KY 40217-1300 | 2019-02-06 |
| 1710442520 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 9300 Stonestreet Rd Ste 400, Louisville, KY 40272-2895 | 2019-02-06 |
| 1497228886 | Sn Kentuckiana Rehab, LLC | Occupational Therapy Assistant | 12000 Aiken Rd, Louisville, KY 40243-2413 | 2019-01-08 |
| 1407329899 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 1212 Market St, La Grange, KY 40031-7986 | 2019-01-08 |
| 1326653080 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 4430 Crawford Ave, Louisville, KY 40258-3706 | 2020-09-10 |
| 1487297495 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014-8679 | 2019-10-22 |
| 1467918847 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 4010 Dupont Cir Ste L14, Louisville, KY 40207-4825 | 2019-02-11 |
| Street Address |
160 FRANKFORT RD |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-9433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204962 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2017-09-21 |
| 1811501422 | Emily Mullen | Physical Therapist | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2020-09-01 |
| 1578107447 | Evan Zane Sibalich | Physical Therapist | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2019-11-04 |
| 1720543531 | Sn Kentuckiana Rehab, LLC | Occupational Therapist | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699218420 | Rr Integrity Services, LLC | Durable Medical Equipment & Medical Supplies | 646 County Road 2813, Shelbyville, TX 75973-4012 | 2016-11-28 |
| 1417382029 | Ap Shelbyville, Inc | Durable Medical Equipment & Medical Supplies | 1545 Midland Trl, Shelbyville, KY 40065-1634 | 2013-09-13 |
| 1134475619 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2169 Midland Trl, Shelbyville, KY 40065-9163 | 2012-08-02 |
| 1215262670 | Guardian Pharmacy of Tn One | Durable Medical Equipment & Medical Supplies | 661 E Lane St, Shelbyville, TN 37160-3437 | 2009-10-02 |
| 1053546804 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 1016 Mount Vernon Drive, Suite 1, Shelbyville, KY 40065-7828 | 2009-05-22 |
| 1164601399 | Shelbyville Clinic Corp | Durable Medical Equipment & Medical Supplies | 2839 Highway 231 North, Suite 100, Shelbyville, TN 37160-7448 | 2007-10-24 |
| 1073705554 | Linda Gail Harwell | Durable Medical Equipment & Medical Supplies | 503 Madison St, Shelbyville, TN 37160-4909 | 2007-08-17 |
| 1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
| 1184797607 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1601 E Michigan Rd, Shelbyville, IN 46176-4058 | 2006-11-15 |
| 1770663817 | Hill-rom Company Inc | Durable Medical Equipment & Medical Supplies | 857 Kentucky St, Suite B, Shelbyville, KY 40065-9257 | 2006-10-16 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on SN KENTUCKIANA REHAB, 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.