KENTUCKY ORTHOPEDIC REHABILITATION (NPI# 1619185683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619185683 |
| Entity Type | Organization |
| Organization Name | KENTUCKY ORTHOPEDIC REHABILITATION |
| Other Organization Name | KORT |
| Practice Address |
708 Westport Rd Elizabethtown KY 42701-3819 |
| Mailing Address |
4716 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2707371731 |
| Practice Fax Number | 2707653780 |
| Mailing Telephone | 7179754503 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-03-14 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| KORT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376611780 | Kentucky Orthopedic Rehabilitation | Clinic/Center | 616 Executive Park, Louisville, KY 40207-4206 | 2006-12-01 |
| 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 |
| 1467925859 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2019-01-08 |
| 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 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838014 | Restoration Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 326 N Mulberry St Ste 105, Elizabethtown, KY 42701-1880 | 2020-07-07 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1184046690 | Allium Tricoccum LLC | Durable Medical Equipment & Medical Supplies | 27 Cobble Ln, Elizabethtown, PA 17022-8838 | 2014-01-17 |
| 1679904270 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1571 N Dixie Hwy, Elizabethtown, KY 42701-2653 | 2013-12-06 |
| 1295020741 | Etown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 914 N Dixie Ave Ste 103, Elizabethtown, KY 42701-2536 | 2011-06-13 |
| 1194028167 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 W Dixie Ave, Elizabethtown, KY 42701-2468 | 2010-12-14 |
| 1639305709 | Supermommy's Superstore, LLC | Durable Medical Equipment & Medical Supplies | 2411 Ring Rd, Suite 105, Elizabethtown, KY 42701-5929 | 2009-06-03 |
| 1942341391 | Apothecare Pharmacy of Elizabethtown P S C | Durable Medical Equipment & Medical Supplies | 1028 N Dixie Ave Ste 100, Elizabethtown, KY 42701-2522 | 2007-02-09 |
| 1366590804 | Sleep Source Inc | Durable Medical Equipment & Medical Supplies | 585 Westport Rd # C, Elizabethtown, KY 42701-2949 | 2007-01-08 |
| 1992879043 | Eugene Teufel & Son Orthotics and Prosthetics Inc | Durable Medical Equipment & Medical Supplies | 915 N Hanover St, Elizabethtown, PA 17022-1306 | 2006-11-20 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on KENTUCKY ORTHOPEDIC REHABILITATION.
| 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.