Active NPI
Vibrant Therapy Inc
- Physical Therapist
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004036
- Legal business name
- VIBRANT THERAPY INC
- Practice address
- 1233 Woodland Dr
Elizabethtown, KY 42701-2709 - Phone
- (270) 766-1055
- Fax
- (270) 766-1056
- NPI assigned
- Dec 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beth Ann Greenwell, PT
- Title
- Vice President
- Phone
- (270) 268-9313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004036 | KY | Primary |
| Occupational Therapist | 225X00000X | R2789 | KY |
Addresses
Primary practice location
1233 Woodland Dr
Elizabethtown, KY 42701-2709
Mailing address
1233 Woodland Dr
Elizabethtown, KY 42701-2709
Phone (270) 766-1055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140320001335 | KY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1456582295 |
Receives reassigned benefits from 2 practitioners Practice locations: Elizabethtown, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Vibrant Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Elizabethtown, KY
- NPI 1689099020
Locations
1205 Woodland Dr
#B
Elizabethtown, KY 42701
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Elizabethtown, KY
- NPI 1184060477
-
- Occupational Therapist
- Elizabethtown, KY
- NPI 1275979569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1649691676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 WOODLAND DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012709",
"telephone_number": "270-766-1055",
"fax_number": "270-766-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 WOODLAND DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012709",
"telephone_number": "270-766-1055",
"fax_number": "270-766-1056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBRANT THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-17",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "GREENWELL",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "270-268-9313",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "KY",
"license": "004036",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R2789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.