KENTUCKY ORTHOPEDIC REHABILITATION LLC (NPI# 1093715054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093715054 |
| Entity Type | Organization |
| Organization Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| Practice Address |
708 Westport Rd Elizabethtown KY 42701-2866 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2707661213 |
| Practice Fax Number | 2707661115 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
KY | Ambulatory Health Care Facilities | |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134220924 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 9424 Brownsboro Rd, Louisville, KY 40241-1118 | 2006-09-26 |
| 1508867573 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 1308 W Shelby St, Suite D, Falmouth, KY 41040-9229 | 2005-08-02 |
| 1851391882 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 5006 Atwood Dr, Suite 2, Richmond, KY 40475-8179 | 2005-08-01 |
| 1912907924 | Kentucky Orthopedic Rehabilitation LLC | Occupational Therapist | 101 Eastside Dr, Suite A, Georgetown, KY 40324-8763 | 2005-08-01 |
| 1972504900 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 102 Williams Road, Nicholasville, KY 40356 | 2005-08-01 |
| 1750381778 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 1547 By-pass Road, Winchester, KY 40391 | 2005-08-01 |
| 1730189762 | Kentucky Orthopedic Rehabilitation LLC | Occupational Therapist | 1650 Bryan Station Rd, Suite 122, Lexington, KY 40505-2138 | 2005-08-01 |
| 1609877638 | Kentucky Orthopedic Rehabilitation LLC | Occupational Therapist | 3584 Springhurst Blvd, Louisville, KY 40241-4141 | 2005-08-01 |
| 1932100971 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 3070 Lake Crest Circle, Suite 700, Lexington, KY 40513 | 2005-08-01 |
| 1568462596 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 4101 Tates Creek Center Drive, Lexington, KY 40517 | 2005-08-01 |
| Street Address |
708 WESTPORT RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410231 | Russell Lynn Mckinley | Podiatrist | 708 Westport Rd, Suite 102, Elizabethtown, KY 42701-3819 | 2005-07-12 |
| 1467925859 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2019-01-08 |
| 1982147153 | Julianne Matteson | Physical Therapist | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2016-11-21 |
| 1174065676 | Jacob Hughes | Physical Therapist | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2016-11-15 |
| 1144693631 | Michael Anthony Kidwell | Physical Therapist | 708 Westport Rd, 200, Elizabethtown, KY 42701-3819 | 2015-11-05 |
| 1083986954 | Deric Parrish | Physical Therapist | 708 Westport Rd, Suite 202, Elizabethtown, KY 42701-3819 | 2012-02-07 |
| 1033414974 | Candice Blackburn Henderson | Counselor | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2011-01-25 |
| 1437399037 | Suresh Kodali | Marriage & Family Therapist | 708 Westport Rd, Suite 103, Elizabethtown, KY 42701-3819 | 2009-02-23 |
| 1891933487 | Melissa Danielle Hawkins | Physical Therapist | 708 Westport Rd, Suite 201, Elizabethtown, KY 42701-3819 | 2009-02-04 |
| 1619185683 | Kentucky Orthopedic Rehabilitation | Durable Medical Equipment & Medical Supplies | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023005709 | Presbyterian Homes and Services of Kentucky, Inc. | Clinic/Center | 108 Diecks Dr, Elizabethtown, KY 42701-2450 | 2005-09-29 |
| 1609810944 | Jewish Hospital & St. Mary's Healthcare, Inc. | Clinic/Center | 708 Westport Rd, Suite 105, Elizabethtown, KY 42701-2866 | 2006-06-16 |
| 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 | ELIZABETHTOWN |
| Zip Code | 42701 |
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.