SN Kentuckiana Rehab, LLC
Organization Active NPI Rehabilitation Clinic/Center · Louisville, KY
NPI 1013480409 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1013480409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- SN KENTUCKIANA REHAB, LLC
- Practice address
- 6400 Dutchmans Pkwy Ste 20
Louisville, KY 40205-3341 - Phone
- (502) 897-0100
- Fax
- (502) 897-7551
- NPI assigned
- Jan 8, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SELECT MEDICAL
Authorized official
- Name
- Michael Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Other NPIs on the same Medicare enrollment 30
Practitioners 5
-
Olivia Simpson Curtsinger, OTR/L, CHT
-
Calista Anne Hammonds, PT, DPT
-
Lauren Cotton Kirby, DPT
-
Zachary Thomas Smith, DPT
-
Trent Morgan Tackett, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190326002841 | KY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254671464 |
Receives reassigned benefits from 215 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY; Mt Washington, KY; Shelbyville, KY; Shepherdsville, KY; Taylorsville, KY; La Grange, KY; Elizabethtown, KY; Crestwood, KY |
National Provider Directory
- Part of
- Select Medical Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
6400 Dutchmans Pkwy Ste 20
Louisville, KY 40205-3341
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names
- KORT Physical Therapy
Other providers in Louisville, KY
- Jacey Jo Smothers
- Stephen P Smythe
- William H Smythe IV
- SN Kentuckiana Rehab LLC
- SN Kentuckiana Rehab LLC
- SN Kentuckiana Rehab, LLC
- SN Kentuckiana Rehab, LLC
- SN Kentuckiana Rehab, LLC
- SN Kentuckiana Rehab, LLC
- SN Kentuckiana Rehab, LLC
All providers in Louisville, KY · Rehabilitation Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.