Active NPI
Kenneth R Kichura, PT
- Physical Therapist
- Versailles, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008078
- Practice address
- 374 Kroger Way
Versailles, KY 40383-1915 - Phone
- (859) 286-6848
- NPI assigned
- Mar 23, 2011
- Last updated
- Jul 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1184532 | TX | |
| Physical Therapist | 225100000X | 008078 | KY | Primary |
Addresses
Primary practice location
374 Kroger Way
Versailles, KY 40383-1915
Mailing address
374 Kroger Way
Versailles, KY 40383-1915
Phone (859) 286-6848
Other practice location 1
15502 Huebner Rd
113
San Antonio, TX 78248-0998
Phone (210) 479-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008078 | KY | MD | Physical Therapist |
| 1184532 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients |
Locations
2226 Holiday Manor Ctr
Ste 9
Louisville, KY 40222
Phone (502) 537-7870
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002
431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1609349018
Physical Therapist
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Shepherdsville, KY
- NPI 1992260715
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1487953923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 KROGER WAY",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831915",
"telephone_number": "859-286-6848",
"fax_number": "859-879-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 KROGER WAY",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831915",
"telephone_number": "859-286-6848"
}
],
"practiceLocations": [
{
"address_1": "15502 Huebner Rd",
"address_2": "113",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782480998",
"country_code": "US",
"telephone_number": "210-479-3334",
"fax_number": "210-479-3338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KICHURA",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1184532",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Versailles, KY
- Kentucky Institute for Eye Health & Surgery (Kentucky Eye Institute)
- Kentucky Mso LLC (Bluegrass Family Care Center)
- Kentucky Mso LLC (Versailles General Surgery)
- Kentucky Orthopaedics & Spine PLLC
- Kentucky's Choice LLC
- Brittany Bronaugh Kinder, D.I.
- Skylar King
- Kiosk Medicine Kentucky LLC
- Landon Scott Kirk, BSN, RN
- Heather Godwin Kirkland, MS, LPCC-S, JSOCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.