ELIZABETHTOWN PHYSICAL THERAPY PSC (NPI# 1255536579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255536579 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN PHYSICAL THERAPY PSC |
| Practice Address |
315 East Broadway Campbellsville KY 42718 |
| Mailing Address |
4716 Old Gettysburg Road Legal Department Mechanicsburg PA 17055 |
| Practice Telephone | 2708492312 |
| Practice Fax Number | 2708492406 |
| Mailing Telephone | 7179754503 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179754503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PTPP | 7972 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437354750 | Elizabethtown Physical Therapy Psc | Clinic/Center | 3211 Frederica Street Tower Place, Suite A, Owensboro, KY 42301 | 2007-06-18 |
| 1457352007 | Elizabethtown Physical Therapy Psc | Clinic/Center | 815 Fairway Dr, Suite C, Brandenburg, KY 40108 | 2005-08-04 |
| 1073514626 | Elizabethtown Physical Therapy Psc | Clinic/Center | 12330 Shelbyville Rd, Suite 300, Louisville, KY 40243-1471 | 2005-08-04 |
| 1609877679 | Elizabethtown Physical Therapy Psc | Clinic/Center | 709 E Main St, Lebanon, KY 40033 | 2005-08-02 |
| 1760483739 | Elizabethtown Physical Therapy Psc | Clinic/Center | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2005-08-02 |
| 1255332193 | Elizabethtown Physical Therapy Psc | Clinic/Center | 1909 Campbellsville Rd, Greensburg, KY 42743 | 2005-08-02 |
| 1194726166 | Elizabethtown Physical Therapy Psc | Clinic/Center | 9424 Brownsboro Rd, Louisville, KY 40241 | 2005-08-02 |
| Street Address |
315 EAST BROADWAY |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| 1174676480 | Edward L Baise | Pharmacist | 325 East Broadway, Campbellsville, KY 42718 | 2007-01-19 |
| Find all providers in zip 42718 | ||||
| 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 | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on ELIZABETHTOWN PHYSICAL THERAPY PSC.
| 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.