SN Kentuckiana Rehab, LLC
Organization Active NPI Rehabilitation Clinic/Center · Louisville, KY
NPI 1063985463 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1063985463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- SN KENTUCKIANA REHAB, LLC
- Practice address
- 210 E Gray St Ste 807
Louisville, KY 40202-3927 - Phone
- (502) 587-9350
- Fax
- (502) 587-9351
- 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
Other NPIs with the same Medicare PAC ID 18
Corporate family (same tax ID) 42
Practitioners 341
-
Colleen R Ball, PT
-
Alexander John Eisenmenger, PT, DPT
-
Madison Harper, OTD, OTR/L
-
Abigail Mulloy Adams, DPT
-
Anjali Ajmani, PT
-
Murali K Ankem, MD
-
Hannah Elizabeth Arms, P.T.
-
William E. Aufox, MD
-
Gregory Austin, DPT
-
Samantha Paige Babey, DPT
-
Anthony Barnes, MD
-
Nicholas Anthony Barnett, PT, DPT
-
Ryan Hayes Barry, PT
-
John Joseph Becht Jr., PT, OCS
-
Jeffrey N Been, MD
-
Branden Bell, PT, DPT
-
Samrath Bhimani, M.D.
-
Baily Blackburn, PT, DPT
-
Jeremy Paul Bollman, OTD
-
Matthew Cameron Bozeman, M.D.
-
Christine Ann Brightwell, D.P.T
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) 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 |
| O20190516001243 | KY | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1254671464 |
1 other NPI on this enrollment Practice locations: Louisville, KY |
National Provider Directory
- Tax ID family
- SN Kentuckiana Rehab LLC
- Part of
- Select Medical Corporation
Locations
2226 Holiday Manor Ctr
Ste 9
Louisville, KY 40222
Phone (502) 537-7870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
210 E Gray St Ste 807
Louisville, KY 40202-3927
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names
- KORT Physical Therapy
Other providers in Louisville, KY
- 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
- 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 Jan 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.