Organization Active NPI

Kentucky Rehab Associates, PLLC

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1013316751
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KENTUCKY REHAB ASSOCIATES, PLLC
Practice address
314 Highland Park Dr
Richmond, KY 40475-3487
Phone
(859) 353-5022
Fax
(859) 353-5047
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Eckler
Title
Credentialing
Phone
(859) 625-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

314 Highland Park Dr
Richmond, KY 40475-3487

Mailing address

314 Highland Park Dr
Richmond, KY 40475-3487
Phone (859) 625-0001

National Provider Directory

National Provider Directory

Locations

314 Highland Park Dr
Richmond, KY 40475
Phone (859) 353-5022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1013316751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-625-0001",
            "fax_number": "859-625-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-353-5022",
            "fax_number": "859-353-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY REHAB ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "ECKLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "859-625-0001"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.