SN KENTUCKIANA REHAB, LLC (NPI# 1467925859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467925859 |
| Entity Type | Organization |
| Organization Name | SN KENTUCKIANA REHAB, LLC |
| Other Organization Name | KORT PHYSICAL THERAPY |
| Practice Address |
708 Westport Rd Elizabethtown KY 42701-3819 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2707661213 |
| Practice Fax Number | 2707661115 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-02-19 |
| 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 |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| 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 |
708 WESTPORT RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410231 | Russell Lynn Mckinley | Podiatrist | 708 Westport Rd, Suite 102, Elizabethtown, KY 42701-3819 | 2005-07-12 |
| 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 |
| 1528270402 | Advanced Foot & Ankle Care LLC | Durable Medical Equipment & Medical Supplies | 708 Westport Rd, Suite 102, Elizabethtown, KY 42701-2866 | 2007-05-04 |
| 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 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.