NPIMap

Organization Active NPI

Commonwealth Rehabilitation & Sports Medicine, PSC

  • Physical Therapist
  • Burlington, KY
National Provider Identifier
1063563666
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMMONWEALTH REHABILITATION & SPORTS MEDICINE, PSC
Practice address
5874 Veterans Way
Burlington, KY 41005-8824
Phone
(859) 334-4331
Fax
(859) 586-1798
NPI assigned
Jan 12, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. Robert McCrayNPI 1669410338
Title
Chief Operating Officer
Phone
(859) 278-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

5874 Veterans Way
Burlington, KY 41005-8824

Mailing address

PO Box 911148
Lexington, KY 40591-1148
Phone (859) 278-2121

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Physical Therapy and Rehabilitation- Burlington4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1704 W Stockton St
Ste A
Edmonton, KY 42129
Phone (270) 432-3200

976 N Main St
Nicholasville, KY 40356
Phone (859) 885-0056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1063563666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911148",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405911148",
            "telephone_number": "859-278-2121",
            "fax_number": "859-276-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5874 VETERANS WAY",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410058824",
            "telephone_number": "859-334-4331",
            "fax_number": "859-586-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH REHABILITATION & SPORTS MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "859-278-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.