CHAMPION PHYSICAL THERAPY KENTUCKY, LLC (NPI# 1689150682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689150682 |
Entity Type | Organization |
Organization Name | CHAMPION PHYSICAL THERAPY KENTUCKY, LLC |
Other Organization Name | CORA PHYSICAL THERAPY - SOMERSET |
Practice Address |
2835 S Highway 27 Ste 286b Somerset KY 42501-3062 |
Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
Practice Telephone | 6063022831 |
Practice Fax Number | 6066873152 |
Mailing Telephone | 4192216720 |
Mailing Fax Number | 4192220507 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |
Authorized Official Name | MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 4192216712 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
KY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CORA Physical Therapy - Somerset | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720589724 | Champion Physical Therapy Kentucky, LLC | Clinic/Center | 1475 Us Highway 25 E Ste 6, Middlesboro, KY 40965-2077 | 2018-02-24 |
1114403060 | Champion Physical Therapy Kentucky, LLC | Clinic/Center | 1475 Us Highway 25 E Ste 6, Middlesboro, KY 40965-2077 | 2018-07-13 |
1588140586 | Champion Physical Therapy Kentucky, LLC | Clinic/Center | 103 S Pine St, Pineville, KY 40977-1610 | 2018-07-13 |
Street Address |
2835 S HIGHWAY 27 STE 286B |
City | SOMERSET |
State | KY |
Zip Code | 42501-3062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
Find all providers in zip 42501 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992831713 | Lake Cumberland Regional Mhmr Board Outpatient | Clinic/Center | 130 Southern School Rd, Somerset, KY 42501-3223 | 2007-02-26 |
1992840086 | Acsr, Inc. | Clinic/Center | 20 Oak Hill Rd, Oakhill Center, Somerset, KY 42503-1002 | 2007-02-20 |
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 |
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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.