Organization Active NPI

Professional Rehabilitation Associates, PSC

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1669463170
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X KY Primary
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X KY

Addresses

Primary practice location

312 Jason Dr Ste 5
Richmond, KY 40475-2785

Mailing address

312 Jason Dr Ste 5
Richmond, KY 40475-2785
Phone (859) 625-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040303000287 KY Part B Supplier - Clinic/Group Practice 3072400167 Receives reassigned benefits from 2 practitioners
Practice locations: Paris, KY; Richmond, KY; Cynthiana, KY
O20240318001295 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072400167 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabethton, TN

National Provider Directory

National Provider Directory

Locations

1120 W Shelby St
#B
Falmouth, KY 41040
Phone (859) 654-4000

185 Farra Dr
Lancaster, KY 40444
Phone (859) 625-0001

698 Perimeter Dr
Ste 100
Lexington, KY 40517
Phone (859) 266-5858

880 Corporate Dr
Ste 101
Lexington, KY 40503
Phone (859) 223-4364

2024 Alverson Dr
Paris, KY 40361
Phone (859) 988-5005

212 Wayne Dr
Richmond, KY 40475
Phone (859) 625-0001

312 Jason Dr
Ste 5
Richmond, KY 40475
Phone (859) 623-5070

5027 Atwood Dr
Ste 2B
Richmond, KY 40475
Phone (859) 625-0001

107 Metker Trl
Ste C
Stanford, KY 40484
Phone (606) 365-7005

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • 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.