ELIZABETHTOWN PHYSICAL THERAPY PSC


Address: 815 Fairway Dr, Suite C, Brandenburg, KY 40108
Phone: 2704223366

ELIZABETHTOWN PHYSICAL THERAPY PSC (NPI# 1457352007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457352007
Entity Type Organization
Organization Name ELIZABETHTOWN PHYSICAL THERAPY PSC
Other Organization Name KORT PHYSICAL THERAPY
Practice Address 815 Fairway Dr
Suite C
Brandenburg
KY 40108
Mailing Address 4716 Old Gettysburg Rd
Legal Department
Mechanicsburg
PA 17055
Practice Telephone 2704223366
Practice Fax Number 2704223378
Mailing Telephone 7179754503
Mailing Fax Number 7179759981
Enumeration Date 2005-08-04
Last Update Date 2008-03-11
NPI Deactivation Date 10/10/2006
NPI Reactivation Date 2006-10-30
Authorized Official Name MR. MICHAEL E TARVIN (VICE PRESIDENT)
Authorized Official Telephone 7179754503
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY PTPP 8900 01

Other Provider/Organization Names

Other Name Type Code
KORT Physical Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255536579 Elizabethtown Physical Therapy Psc Clinic/Center 315 East Broadway, Campbellsville, KY 42718 2007-06-18
1437354750 Elizabethtown Physical Therapy Psc Clinic/Center 3211 Frederica Street Tower Place, Suite A, Owensboro, KY 42301 2007-06-18
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

Office Location

Street Address 815 FAIRWAY DR
SUITE C
City BRANDENBURG
State KY
Zip Code 40108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982604625 Kyle Joseph King Family Medicine 815 Fairway Dr, Brandenburg, KY 40108-1415 2005-07-22
1083802151 Kimberly Ann Devries Physical Therapist 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 2007-10-14
1366548596 Kentucky Orthopedic Rehabilitation, LLC Clinic/Center 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 2006-09-15
1982666921 Debra Hines Physical Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-04-05
1083676308 Jason Chambers Physical Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-04-03
1306808712 Dee Jay Hall Occupational Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-04-03
1205898616 Margaret King Physical Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-04-03
1013979343 Elizabeth Hite Rogers Physical Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-04-03
1467414870 Iris R Stull Physical Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-04-03
1881655579 Rob Gentile Physical Therapist 815 Fairway Dr, Brandenburg, KY 40108-1415 2006-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468036 Elisabeth Shoulders Specialist/Technologist 1010 Turner Road, Brandenburg, KY 40108 2017-07-03
1760890958 Kimberly Ryan Social Worker 2020 Bypass Rd, Brandenburg, KY 40108 2014-07-31
1962790600 Meade Family Eye, Pllc Optometrist 664 By Pass Rd, Brandenburg, KY 40108 2011-07-15
1295066934 Raymond Lewis Mathis Family Medicine 65 Cedar Vista Dr, Brandenburg, KY 40108 2010-01-20
1790951804 Elizabeth Mary Wright Physical Therapist 1155 Old Ekron Rd, Brandenburg, KY 40108 2008-05-08
1427240704 Bluegrass Massage Theraputics Clinic/Center 365 East Broadway Suite 2, Brandenburg, KY 40108 2007-08-10
1710969316 Lincoln Trail District Health Dept Public Health or Welfare 520 Hillcrest Dr, Brandenburg, KY 40108 2005-11-18
1437676475 Ack Healthcare Management, LLC Nurse Practitioner 2025 Bypass Rd Ste 205, Brandenburg, KY 40108 2017-08-29
1598135055 Forefront Dermatology, S.c. Dermatology 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 2015-09-28
1457479396 Robert Eugene Smith Family Medicine 534 Hillcrest Drive, Brandenburg, KY 40108 2007-03-27
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427240704 Bluegrass Massage Theraputics Clinic/Center 365 East Broadway Suite 2, Brandenburg, KY 40108 2007-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336755354 Thrive Therapies Pllc Clinic/Center 1701 Nicholasville Rd Ste 200, Lexington, KY 40503-1459 2020-09-16
1134743396 The Female Athlete Physio, LLC Clinic/Center 3705 Grandview Ave, Louisville, KY 40207-3711 2020-06-03
1578185039 Hope & Horses Rehabilitation LLC Clinic/Center 3348 Howell Drennen Rd, Mt Sterling, KY 40353-9112 2020-05-07
1477174977 Morgan Cimala Pt Pllc Clinic/Center 512 Natures Pointe Dr, Somerset, KY 42503-6259 2020-05-06
1649808114 Confluent Health LLC Clinic/Center 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 2020-03-31
1023642485 Dunn Physical Therapy, Pllc Clinic/Center 9506 Norton Commons Blvd, Prospect, KY 40059-7520 2020-02-25
1346871571 Inspire Physical Therapy, LLC Clinic/Center 14901 Forest Oaks Dr, Louisville, KY 40245-6509 2020-01-27
1740810936 Legacy Physical Therapy Clinic/Center 237 E Highway 60, Hardinsburg, KY 40143-4892 2020-01-16
1205470770 Pain and Performance Solutions LLC Clinic/Center 102 Daventry Ln Ste 5, Louisville, KY 40223-2869 2019-10-29
1316588742 Occupational Health Centers of The Southwest Pa Clinic/Center 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 2019-10-07
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Competitor

Search similar providers

City BRANDENBURG
Zip Code 40108

Improve Information

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Dataset Information

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.

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