CENTRAL KENTUCKY REHABILITATION, LLC (NPI# 1659558211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659558211 |
| Entity Type | Organization |
| Organization Name | CENTRAL KENTUCKY REHABILITATION, LLC |
| Practice Address |
255 W Main St Suite 121 Lebanon KY 40033-1260 |
| Practice Telephone | 2706992356 |
| Practice Fax Number | 2706992995 |
| Mailing Telephone | 2706992356 |
| Mailing Fax Number | 2706992995 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | MR. ERIC MICHAEL MOONEY (OWNER/OPERATOR) |
| Authorized Official Telephone | 2706992356 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
004310 | KY | Ambulatory Health Care Facilities |
| Street Address |
255 W MAIN ST SUITE 121 |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649488024 | Eric Michael Mooney | Physical Therapist | 255 W Main St, Suite 121, Lebanon, KY 40033-1260 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1922587013 | Metcon Mechanics Pt | Clinic/Center | 24 Cokesbury Rd Ste 5, Lebanon, NJ 08833-2218 | 2018-08-09 |
| 1467859405 | Central Penn In Home Therapy | Clinic/Center | 609 N 12th St, Lebanon, PA 17046-3381 | 2014-11-19 |
| 1104970979 | Agilitas Usa Inc | Clinic/Center | 1420 W Baddour Pkwy Ste 120, Lebanon, TN 37087-1510 | 2007-01-22 |
| 1760415848 | Physiotherapy Associates Inc | Clinic/Center | 100 Physician's Pkwy, Ste 230, Lebanon, TN 37090-8102 | 2006-07-09 |
| 1780613554 | Physiotherapy Associates Inc | Clinic/Center | 1001 W Main St Ste G, Lebanon, OH 45036-7211 | 2006-07-02 |
| 1619947678 | Lebanon Physical Therapy and Rehabilitative Services, LLC | Clinic/Center | 272 Highland Drive, Lebanon, VA 24266-4623 | 2006-01-24 |
| 1467709931 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 410 Cumberland St, Lebanon, PA 17042-5351 | 2012-08-14 |
| 1033353727 | Urban Physical Therapy, Inc | Clinic/Center | 521 W Main St, Lebanon, TN 37087-3460 | 2009-04-24 |
| 1346316304 | Lester E Cox Medical Centers | Clinic/Center | 510 Highway 32, Lebanon, MO 65536-5303 | 2006-11-28 |
| Find all providers in LEBANON | ||||
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| 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.