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SN Kentuckiana Rehab, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Louisville, KY

NPI 1669937140 · NPPES record last updated Feb 8, 2019

Key facts

NPI
1669937140
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SN KENTUCKIANA REHAB, LLC
Practice address
9880 Angies Way Ste 100
Louisville, KY 40241-2851
Phone
(502) 339-6490
Fax
(502) 339-6492
NPI assigned
Feb 8, 2019
Organization subpart
Yes
Parent organization (as reported)
SELECT MEDICAL

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Other NPIs with the same Medicare PAC ID 18

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

Corporate family (same tax ID) 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 339

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

View all 339

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190424003237 KY DME Supplier - Independently-Practicing Physical Therapist 1254671464 Practice locations: Louisville, KY

National Provider Directory

Tax ID family
SN Kentuckiana Rehab LLC (43 organizations share this tax ID)
Part of
Select Medical Corporation

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

9880 Angies Way Ste 100
Louisville, KY 40241-2851

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Other names

  • KORT Physical Therapy Doing business as

Other providers in Louisville, KY

All providers in Louisville, KY · Durable Medical Equipment & Medical Supplies in Kentucky

Sources for this page

Verify at the official NPI Registry.