Kentucky Orthopedic Rehabilitation, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

KENTUCKY ORTHOPEDIC REHABILITATION, LLC

Practice address

815 Fairway Dr
Suite C
Brandenburg, KY 40108-1415

Phone

(717) 975-4503

Fax

(717) 975-9981

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 1

Addresses

Other names 1

• KORT Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kentucky Orthopedic Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Brandenburg, KY
  • NPI 1578646824

  O20060508000523

  Same enrollment

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366548596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-4503",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FAIRWAY DR",
            "address_2": "SUITE C",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081415",
            "telephone_number": "717-975-4503",
            "fax_number": "717-975-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ORTHOPEDIC REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Percefull Jarvis, SLP
• Jewish Hospital & St Mary'S Healthcare Inc
• Jewish Hospital & St. Mary'S Healthcare, Inc.
• Jennifer Irene Schinke Kendrick, LISW
• Kentucky Orthopedic Rehabilitation LLC
• Eric King Jr., PHARM.D.
• Hannah L King, PA
• Kyle Joseph King, M.D.
• Margaret King
• Kroger Limited Partnership I

• Rehabilitation Clinic/Center in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.