Mountain Rehabilitation Services, LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002081 Issued in KY

Legal business name

MOUNTAIN REHABILITATION SERVICES, LLC.

Practice address

606 Knox St
Barbourville, KY 40906-1304

Phone

(606) 627-9905

Fax

(606) 277-0027

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey Glenn MaguetNPI 1336392893

Title

Physical Therapist

Phone

(606) 524-4287

Specialties & licenses 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Mountain Rehabilitation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountain Rehabilitation Services, LLC

  • Physical Therapist
  • Corbin, KY
  • NPI 1851627244
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Maguet, P.T.

  • Physical Therapist
  • Corbin, KY
  • NPI 1336392893
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1376960310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PHILLIPS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012144",
            "telephone_number": "606-524-4287",
            "fax_number": "606-862-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-627-9905",
            "fax_number": "606-277-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN REHABILITATION SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "MAGUET",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "606-524-4287"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002081",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005497",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01560",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02336",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "134657",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100458630",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100464380",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87020814",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Estel Mills, APRN
• Tanner Douglas Mills, LPCA
• Brittany N Mitchell, PT
• Sam Moore
• Mountain Eye Care Center
• Movebetter Physical Therapy PLLC
• Newborn & Kids Health Center, Inc.
• Jeffrey Nicholas, PHARMD
• Charles-Phillip Austin North
• Nra Barbourville Home Therapy Center Kentucky LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.