Justin Reed Hazel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008374 Issued in KY

Practice address

703 E Main St Unit 1
Lebanon, KY 40033-8696

Phone

(270) 699-9503

Fax

(270) 699-3804

NPI assigned

May 11, 2021

Last updated

Sep 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Murray, KY
  • NPI 1942948294

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018

  Physical Therapist

  Medicare reassignment NPD
• Kentucky Orthopedic Rehabilitation LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Brandenburg, KY
  • NPI 1578646824
  NPD
• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1023581410
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD
• Kentucky Orthopedic Rehabilitation LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Lebanon, KY
  • NPI 1609972827
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1184208563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST UNIT 1",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338696",
            "telephone_number": "270-699-9503",
            "fax_number": "270-699-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST UNIT 1",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338696",
            "telephone_number": "270-699-9503",
            "fax_number": "270-699-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "JUSTIN",
        "middle_name": "REED",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-09-03",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "TP2021023",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Harmon
• Alesha Nicole Harris, OTR/L
• Sara Ashley Hart
• Whitney Dawn Haws
• Twana D Hayes
• Healthcare for Kids & Teens, PLLC
• Megan Ruth Hedgespeth, DO
• Beverly Ann Holbert, N.P.
• Patricia Mary Hollingsworth-Cecconi, O.D.
• Margie Holtzclaw, LMT

• Physical Therapist in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.