SN Kentuckiana Rehab, LLC
Organization Active NPI Rehabilitation Clinic/Center · Elizabethtown, KY
NPI 1467925859 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1467925859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- SN KENTUCKIANA REHAB, LLC
- Practice address
- 2618 Ring Rd Ste 110
Elizabethtown, KY 42701-7116 - Phone
- (270) 766-1213
- Fax
- (270) 766-1115
- NPI assigned
- Jan 8, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SELECT MEDICAL
Authorized official
- Name
- Michael Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Other NPIs on the same Medicare enrollment 30
Other NPIs with the same Medicare PAC ID 18
Corporate family (same tax ID) 42
Member of 1
Practitioners 341
-
Samantha Paige Babey, DPT
-
Jacob W Comstock, PT, DPT, CERT. DN
-
Amy Hayden, OT
-
Andrea J Johnson, PT
-
Mallory Shuffett, DPT
-
Justin Ryan Wiech, PT, DPT
-
Abigail Mulloy Adams, DPT
-
Anjali Ajmani, PT
-
Murali K Ankem, MD
-
Hannah Elizabeth Arms, P.T.
-
William E. Aufox, MD
-
Gregory Austin, DPT
-
Colleen R Ball, PT
-
Anthony Barnes, MD
-
Nicholas Anthony Barnett, PT, DPT
-
Ryan Hayes Barry, PT
-
John Joseph Becht Jr., PT, OCS
-
Jeffrey N Been, MD
-
Branden Bell, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190326002841 | KY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254671464 |
Receives reassigned benefits from 215 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY; Mt Washington, KY; Shelbyville, KY; Shepherdsville, KY; Taylorsville, KY; La Grange, KY; Elizabethtown, KY; Crestwood, KY |
| O20250107002318 | KY | DME Supplier - Independently-Practicing Physical Therapist |
1254671464 | Practice locations: Elizabethtown, KY |
National Provider Directory
- Tax ID family
- SN Kentuckiana Rehab LLC
- Part of
- Select Medical Corporation
Locations
875 Pennsylvania Ave
#A
Bardstown, KY 40004
Phone (502) 349-6961
2618 Ring Rd
#110
Elizabethtown, KY 42701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
2618 Ring Rd Ste 110
Elizabethtown, KY 42701-7116
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names
- KORT Physical Therapy
Other providers in Elizabethtown, KY
- Melissa Ann Smith
- Ruthann Smith
- Tara Catherine Smith
- Terri Woodruff Smith
- Tina Cha Smith
- Susan Smith Sneed
- Ashley N Snellen
- Caitlynn Snyder
- Lindsay Shanelle Songer
- Edward F Sorace
All providers in Elizabethtown, KY · Rehabilitation Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. 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.