SN KENTUCKIANA REHAB, LLC (NPI# 1508381591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508381591 |
| Entity Type | Organization |
| Organization Name | SN KENTUCKIANA REHAB, LLC |
| Other Organization Name | KORT PHYSICAL THERAPY |
| Practice Address |
543 Taylorsville Rd Ste 101 Taylorsville KY 40071-6766 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5024776410 |
| Practice Fax Number | 5024779546 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2019-02-06 |
| 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 |
543 TAYLORSVILLE RD STE 101 |
| City | TAYLORSVILLE |
| State | KY |
| Zip Code | 40071-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083981658 | Brittany Leigh Steen | Physical Therapist | 543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766 | 2011-11-25 |
| 1770956294 | Tyler Tackett | Physical Therapist | 543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766 | 2015-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322841 | Debbie Long | Registered Nurse | 88 Spears Drive, Taylorsville, KY 40071 | 2016-08-28 |
| 1679869184 | Matthew Alan Bormann | Dentist | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2011-06-22 |
| 1023325594 | Patrick Daniel Bray | Physical Therapist | 4813 Taylorsville Rd., Taylorsville, KY 40071 | 2010-09-07 |
| 1043522584 | Ernest John Kettig | Durable Medical Equipment & Medical Supplies | 206 Taylorsville Rd., Ste. A, Taylorsville, KY 40071 | 2010-07-13 |
| 1922202480 | Kristen Smotherman | Counselor | 73 East Main Street, Taylorsville, KY 40071 | 2007-06-11 |
| 1669590774 | Bg House Enterprises Inc | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071 | 2007-03-27 |
| 1346263324 | Scpg Kentucky LLC | Pharmacy | 847 Taylorsville Rd, Taylorsville, KY 40071 | 2006-07-25 |
| 1154375020 | Ethel Darline Luster Caldwell | Nurse Practitioner | 870 Taylorsville Road, Taylorsville, KY 40071 | 2006-05-22 |
| 1023080884 | North Central District Health Dept. | Public Health or Welfare | 88 Spears Dr, Taylorsville, KY 40071 | 2006-02-06 |
| 1801343140 | Melissa Ann Hines | Nurse Practitioner | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2016-09-03 |
| Find all providers in zip 40071 | ||||
| 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 | TAYLORSVILLE |
| Zip Code | 40071 |
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.