NPIMap

Organization Active NPI

Rough River Physical Therapy PLLC

Doing business as Rough River Physical Therapy

  • Early Intervention Provider Agency
  • McDaniels, KY
National Provider Identifier
1285049668
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ROUGH RIVER PHYSICAL THERAPY PLLC
Doing business as
Rough River Physical Therapy
Practice address
10620 S Highway 259
MC Daniels, KY 40152-7236
Phone
(270) 257-8094
NPI assigned
Jun 24, 2014
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Dr. Rebecca Jarboe Frank, PT, DPT, OCSNPI 1801811138
Title
Physical Therapy
Phone
(270) 257-8094

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 004892 KY
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

10620 S Highway 259
MC Daniels, KY 40152-7236

Mailing address

10620 S Highway 259
MC Daniels, KY 40152-7236
Phone (270) 257-8094

Other names 1

  • Rough River Physical Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1285049668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 S HIGHWAY 259",
            "city": "MC DANIELS",
            "state": "KY",
            "postal_code": "401527236",
            "telephone_number": "270-257-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 S HIGHWAY 259",
            "city": "MC DANIELS",
            "state": "KY",
            "postal_code": "401527236",
            "telephone_number": "270-257-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUGH RIVER PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JARBOE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "270-257-8094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004892",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rough River Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rough River Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDaniels, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.