NPIMap

Organization Active NPI

Kentucky Orthopedic Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Madisonville, KY
National Provider Identifier
1033723549
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KENTUCKY ORTHOPEDIC REHABILITATION, LLC
Practice address
24 Madison Square Dr
Madisonville, KY 42431-2740
Phone
(270) 824-9227
NPI assigned
Sep 2, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20090211000813 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345157293 Receives reassigned benefits from 76 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Campbellsville, KY; Columbia, KY; Georgetown, KY; Murray, KY; Richmond, KY
O20100817000412 KY Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345157293 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitesville, KY; Owensboro, KY; Madisonville, KY

National Provider Directory

National Provider Directory

Locations

24 Madison Square Dr
Madisonville, KY 42431
Phone (270) 684-7856

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

24 Madison Square Dr
Madisonville, KY 42431-2740

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

NPPES NPI Registry
  • KORT - Madisonville Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2025.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1033723549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MADISON SQUARE DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312740",
            "telephone_number": "270-824-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ORTHOPEDIC REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORT - Madisonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KORT - Madisonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.