SN Kentuckiana Rehab, LLC
Organization Active NPI Rehabilitation Clinic/Center · Clarksville, IN
NPI 1295208684 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1295208684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- SN KENTUCKIANA REHAB, LLC
- Practice address
- 325 E Lewis and Clark Pkwy Ste 100
Clarksville, IN 47129-1725 - Phone
- (812) 283-3231
- Fax
- (812) 283-3271
- NPI assigned
- Jan 8, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SELECT MEDICAL
Authorized official
- Name
- John Duggan
- Title
- Chief Legal Officer
- Phone
- (717) 972-1100
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 18
Corporate family (same tax ID) 42
Practitioners 345
-
Samuel Barnett, PT, DPT
-
Christine Benz, PT, DPT
-
Andrea Lynn Bowman, PT/DPT
-
Mary Bowman, PT, DPT,OCS,LMT
-
Declan Brown, PT, DPT
-
Deborah Louise Bruckman, PT, DPT
-
Gracie Jean Byrum, PT DPT
-
Erin Kitchel, PT, DPT
-
Camilla Rae Koerber, DPT
-
Andrea Distler Lamm, DPT
-
Cheyenne Ledford, PT, DPT
-
Paul B Lonnemann, PT OCS MTC
-
Daniel Love, PT
-
Clinton Wayne Morris, PT, DPT
-
Elizabeth Siverly, DPT
-
Jacqueline Smith, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190328002025 | IN | Part B Supplier - Clinic/Group Practice | 1254671464 |
Receives reassigned benefits from 45 practitioners 7 other NPIs on this enrollment Practice locations: Madison, IN; Sellersburg, IN; New Albany, IN; Jeffersonville, IN; Georgetown, IN; Floyds Knobs, IN; Corydon, IN; Clarksville, IN… |
National Provider Directory
- Tax ID family
- SN Kentuckiana Rehab LLC
- Part of
- Select Medical Corporation
Locations
1227 Goss Ave
Louisville, KY 40217
Phone (502) 636-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
325 E Lewis and Clark Pkwy Ste 100
Clarksville, IN 47129-1725
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names
- KORT Physical Therapy
Other providers in Clarksville, IN
- Jessica Smith
- Jordan Smith
- Julia Smith
- Kelsey Smith
- Michelle Lynn Smith
- Nancy Katherine Snyder
- Sadie E Soliday
- Sumit Som
- Audrey Sonne
- Katlin Sorells
All providers in Clarksville, IN · Rehabilitation Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. 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.