NPIMap

Organization Active NPI

Kentucky Rehabilitation Services Inc

Doing business as NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Crescent Springs, KY
National Provider Identifier
1790780617
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
100789 Issued in KY
Legal business name
KENTUCKY REHABILITATION SERVICES INC
Doing business as
NovaCare Rehabilitation
Practice address
580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone
(859) 341-6654
Fax
(859) 578-4833
NPI assigned
Jun 16, 2005
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Mr. John F Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X 100789 KY Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

580 Buttermilk Pike
Crescent Springs, KY 41017-1635

Mailing address

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

Other practice location 1

2600 Alexandria Pike
Highland Heights, KY 41076-1590
Phone (859) 572-0710

Other practice location 2

68 Cavalier Blvd Ste 1700
Florence, KY 41042-1645
Phone (859) 283-0707

Other names 1

  • NovaCare Rehabilitation Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041221000019 KY Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8224096474 1 other NPI on this enrollment
Practice locations: Crescent Springs, KY; Florence, KY; Hebron, KY; Highland Heights, KY
O20150117000246 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224096474 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Crescent Springs, KY; Florence, KY; Hebron, KY; Highland Heights, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790780617. Details of each certification follow.

  • CCN 186531 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 186531

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
NOVACARE REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jun 16, 1997
Last certification
Mar 20, 2013
Ownership / control type
Proprietary
Facility address
580 Buttermilk Pike
Crescent Springs, KY 41017

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Rehabilitation Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

Locations

580 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 341-6654

559 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-5564

68 Cavalier Blvd
Ste 1700
Florence, KY 41042
Phone (859) 283-0707

2010 N Bend Rd
Ste 600
Hebron, KY 41048
Phone (859) 594-5220

2600 Alexandria Pike
Ste 45
Highland Heights, KY 41076
Phone (859) 572-0710

1918 Declaration Dr
Independence, KY 41051
Phone (859) 356-0179

Practitioners & affiliated clinicians

Practitioners 160

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 160

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1790780617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "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": "580 BUTTERMILK PIKE",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171635",
            "telephone_number": "859-341-6654",
            "fax_number": "859-578-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Alexandria Pike",
            "address_purpose": "LOCATION",
            "city": "Highland Heights",
            "state": "KY",
            "postal_code": "410761590",
            "country_code": "US",
            "telephone_number": "859-572-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Cavalier Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421645",
            "country_code": "US",
            "telephone_number": "859-283-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "100789",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent Springs, KY

Sources for this page

Verify at the official NPI Registry.