NPIMap

Organization Active NPI

Kentucky Orthopedic Rehabilitation LLC

Doing business as KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Lebanon, KY
National Provider Identifier
1609972827
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KENTUCKY ORTHOPEDIC REHABILITATION LLC
Doing business as
KORT Physical Therapy
Practice address
703 E Main St
Ste 1
Lebanon, KY 40033-8695
Phone
(270) 699-9503
Fax
(270) 699-3804
NPI assigned
Sep 15, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

703 E Main St
Ste 1
Lebanon, KY 40033-8695

Mailing address

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

Other names 1

  • KORT Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080110000375 KY Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345157293 Practice locations: Lebanon, KY; Springfield, 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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609972827. Details of each certification follow.

  • CCN 186639 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 186639

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KORT - LEBANON PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 1, 2006
Last certification
Jul 22, 2015
Ownership / control type
Proprietary
Facility address
703 East Main Street, Suite 1
Lebanon, KY 40033

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

All facility ownership & control disclosures 1

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

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

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1609972827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST",
            "address_2": "STE 1",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338695",
            "telephone_number": "270-699-9503",
            "fax_number": "270-699-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ORTHOPEDIC REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.