Professional Rehabilitation Associates, PSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL REHABILITATION ASSOCIATES, PSC

Practice address

312 Jason Dr Ste 5
Richmond, KY 40475-2785

Phone

(859) 625-0001

Fax

(895) 625-1109

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mark E Brooks, PTNPI 1003807819

Title

Ceo

Phone

(859) 625-0001

Specialties & licenses 2

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

Enrollment records 2

Locations

Practitioners 23

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

• Mark E Brooks, PT, DSC, ECS, OCS

  • Clinical Electrophysiology Physical Therapist
  • Richmond, KY
  • NPI 1003807819
  Medicare reassignment Care Compare group Authorized official
• Dustin L Arthur, PT, DPT

  • Clinical Electrophysiology Physical Therapist
  • Richmond, KY
  • NPI 1265785661
  Medicare reassignment Care Compare group
• Brandon David Clay Sexton, DPT

  • Physical Therapist
  • Bristol, TN
  • NPI 1598366221
  Medicare reassignment
• Eileen Alesia Aldridge, OT

  • Occupational Therapist
  • Richmond, KY
  • NPI 1275877466
  NPD (past)
• Alice K Allen-Gambrel, PT

  • Physical Therapist
  • Lexington, KY
  • NPI 1891786653
  NPD (past)
• Deidra Breitenbach, PT

  • Physical Therapist
  • Danville, KY
  • NPI 1821089632
  NPD (past)
• Amy Broaddrick, PT

  • Physical Therapist
  • Richmond, KY
  • NPI 1134110992
  NPD (past)
• Agatha D Brockie, PT

  • Physical Therapist
  • Richmond, KY
  • NPI 1982938437
  NPD (past)
• Kimberly A Butler, PT

  • Physical Therapist
  • Richmond, KY
  • NPI 1245386390
  NPD (past)
• Scott S Crook, PT

  • Physical Therapist
  • Nicholasville, KY
  • NPI 1700835410
  NPD (past)
• Bradley J Davidson, PT

  • Physical Therapist
  • Frenchburg, KY
  • NPI 1689616658
  NPD (past)
• Jessee Gunn, PT,MS,DPT

  • Physical Therapist
  • Richmond, KY
  • NPI 1821113960
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1669463170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 JASON DR STE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752785",
            "telephone_number": "859-625-0001",
            "fax_number": "895-625-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 JASON DR STE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752785",
            "telephone_number": "859-625-0001",
            "fax_number": "895-625-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHABILITATION ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-625-0001",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS P-EMG",
            "identifier": "000000190632",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS PARIS",
            "identifier": "47015",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS SPTA",
            "identifier": "000000215122",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS RPTA",
            "identifier": "000000310944",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS LPTA",
            "identifier": "000000060027",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSG RPTA",
            "identifier": "42858",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS LPTA",
            "identifier": "4378",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HPTA",
            "identifier": "000000333709",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87900312",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PARIS",
            "identifier": "000000199364",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS HPTA",
            "identifier": "11128",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSG SPTA",
            "identifier": "47016",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "DB9812",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Price, BCBA, LBA
• Keith E Proctor, D.O.
• Professional Center Pharmacy Annex
• Professional MRI, LLC
• Professional Radiology Associates, PSC
• Rebecca H Proudfoot, LCSW
• Provider Management & Development Corporation
• Nella Christy Pryor, MA, CCC-SLP
• Psychmind Counseling and Psychiatry LLC
• Suzanne Puckett

• Physical Therapist in Richmond, KY
• Providers in Richmond, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.