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Kentucky Orthopedic Rehabilitation LLC

Organization Active NPI Rehabilitation Clinic/Center · Campbellsville, KY

NPI 1457490997 · NPPES record last updated Sep 30, 2025

Key facts

NPI
1457490997
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
KENTUCKY ORTHOPEDIC REHABILITATION LLC
Practice address
315 E Broadway St
Campbellsville, KY 42718-2003
Phone
(270) 849-2313
Fax
(270) 849-2406
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

Name
John F Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 33

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

View all 33

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

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

Practitioners 73

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

View all 73

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KY

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kort
Jeffersonville, IN · CCN 157660		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 4, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070424000669 KY Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345157293 1 other NPI on this enrollment
Practice locations: Campbellsville, KY; Columbia, KY
O20090211000813 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345157293 Receives reassigned benefits from 76 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Campbellsville, KY; Columbia, KY; Georgetown, KY; Murray, KY; Richmond, KY

National Provider Directory

Tax ID family
Kort-Kentucky Orthopedic Rehab Team (15 organizations share this tax ID)

Locations

315 E Broadway St
Campbellsville, KY 42718
Phone (270) 469-1076

703 E Main St
Unit 1
Lebanon, KY 40033
Phone (270) 699-9503

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X KY
Rehabilitation Clinic/Center 261QR0400X KY Yes

Addresses

Primary practice location

315 E Broadway St
Campbellsville, KY 42718-2003

Mailing address

4714 Gettysburg Rd
Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Rehabilitation Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.