SN KENTUCKIANA REHAB, LLC (NPI# 1396218798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396218798 |
| Entity Type | Organization |
| Organization Name | SN KENTUCKIANA REHAB, LLC |
| Other Organization Name | KORT PHYSICAL THERAPY |
| Practice Address |
1050 Copperfield Dr Georgetown IN 47122-9075 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5024990107 |
| Practice Fax Number | 5024990535 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-02-08 |
| 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 | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| 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 |
| 1053944900 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2020-02-19 |
| 1487297495 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014-8679 | 2019-10-22 |
| Street Address |
1050 COPPERFIELD DR |
| City | GEORGETOWN |
| State | IN |
| Zip Code | 47122-9075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568826774 | Kevin Lannan | Physical Therapist | 1050 Copperfield Dr, Georgetown, IN 47122-9075 | 2016-04-13 |
| 1629688353 | Katlyn Elizabeth O'neill | Physical Therapist | 1050 Copperfield Dr, Georgetown, IN 47122-9075 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609054097 | Rush Memorial Hospital | Skilled Nursing Facility | 1002 Sister Barbara Way, Georgetown, IN 47122 | 2008-02-07 |
| 1033322110 | Victoria S Evans | Occupational Therapy Assistant | 1504 Allen Dr, Georgetown, IN 47122 | 2007-05-07 |
| 1285706580 | William Thomas Steinwedel | Dentist | 7614 Sr 64, Suite B, Georgetown, IN 47122 | 2006-11-14 |
| 1942583281 | Teresa Lea Shaffer | Pharmacist | 6310 Forest Grove Dr Ne, Georgetown, IN 47122-7764 | 2011-09-22 |
| 1164553004 | Tonja F Foster | Physical Therapist | 3108 Brazil Lake Pkwy, Georgetown, IN 47122-8602 | 2007-03-09 |
| 1710436613 | Rebecca Todd | Physical Therapist | 7105 Branden Dr, Georgetown, IN 47122-8612 | 2016-10-03 |
| 1912139593 | Mary Margaret Carnahan | Counselor | 7485 State Road 64, Georgetown, IN 47122-8735 | 2009-08-17 |
| 1093378978 | Peace for Life Counseling, LLC | Clinic/Center | 7485 State Road 64, Georgetown, IN 47122-8735 | 2019-04-17 |
| 1477603538 | Providence Self Sufficiency Ministries Inc | Community Based Residential Treatment Facility, Mental Illness | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-11 |
| 1740330364 | Providence Self Sufficiency Ministries | Private Vehicle | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-12 |
| Find all providers in zip 47122 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366850919 | Cora South Carolina LLC | Clinic/Center | 2199 North Frazer St., Georgetown, SC 29440-6409 | 2014-07-28 |
| 1912569153 | Rehabilitation Consultants, Inc. | Clinic/Center | 2 Lee Ave Unit 103, Georgetown, DE 19947-2149 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1598371916 | Rci (wrs), LLC. | Clinic/Center | 860 Stillwater Pkwy, Crown Point, IN 46307-5360 | 2020-09-21 |
| 1619583044 | Rci (wrs), LLC. | Clinic/Center | 303 S Main St Ste 215, Mishawaka, IN 46544-2160 | 2020-09-21 |
| 1417563834 | Rci (wrs), LLC. | Clinic/Center | 2300 Cline Ave Ste 203, Schererville, IN 46375-2580 | 2020-09-21 |
| 1194331512 | Rci (wrs), LLC. | Clinic/Center | 9150 E 109th Ave Ste 1d, Crown Point, IN 46307-7687 | 2020-09-21 |
| 1710593132 | Rci (wrs), LLC. | Clinic/Center | 401 15th St Se Ste 11-12, Demotte, IN 46310-9043 | 2020-09-21 |
| 1578179990 | Rci (wrs), LLC. | Clinic/Center | 1900 S Heaton St # 110112, Knox, IN 46534-2324 | 2020-09-21 |
| 1245860196 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3316 E Market St, Logansport, IN 46947-2296 | 2020-01-20 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1750948261 | Select Medical Rehabilitation Clinics, Inc. | Clinic/Center | 401 15th St Se Ste 12, Demotte, IN 46310-9379 | 2019-05-21 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 47122 |
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.