Kentucky Rehabilitation Services Inc
Organization Active NPI Physical Therapy Clinic/Center · Crescent Springs, KY
NPI 1790780617 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1790780617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 100789 (KY)
- Legal business name
- KENTUCKY REHABILITATION SERVICES INC
- Practice address
- 580 Buttermilk Pike
Crescent Springs, KY 41017-1635 - Phone
- (859) 341-6654
- Fax
- (859) 578-4833
- NPI assigned
- Jun 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John F Duggan
- Title
- Chief Legal Officer
- Phone
- (717) 972-1100
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Member of 1
Practitioners 160
-
Edward Blake Schumann, PT, DPT
-
Blake E Berry, PT, DPT
-
Allison Dilts, PT, DPT
-
Mark Foster, DPT
-
Calista Anne Hammonds, PT, DPT
-
Kristin O'Leary, DPT
-
Gregory Evan Sholar, PT, DPT
-
Kevin James Cassidy, P.T.
-
Braden Hurst, DPT
-
Erin Lynn Kelley, DPT, MSPT, OCS, ATC
-
Kathryn Nix, DPT
-
Sharon Lynn Noll, PT
-
Bryan Joel Berman, M.D.
-
Sarah Faith Bills, APRN
-
Kevin Bonfield, MD
-
Sheena Boury, M.D
-
Mark G Bowling, MD
-
Tyler William Browning, M.D.
-
Timothy Michael Burns, D.O.
-
Vickie C Chan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Kentucky Rehabilitation Services Inc
Locations
2600 Alexandria Pike
Ste 45
Highland Heights, KY 41076
Phone (859) 572-0710
2600 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 442-8200
1918 Declaration Dr
Independence, KY 41051
Phone (859) 356-0179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | 100789 | KY | Yes |
| 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
- NovaCare Rehabilitation
Other providers in Crescent Springs, KY
- Nine-Keng Monica Hsu
- Ivx Health of Kentucky, PLLC
- Anne Kellogg
- Dawna Marie Kennedy
- Kentucky Dental Professionals PSC
- Caroline Virginia Ketron
- Lauren Korba
- Joseph Christopher Kues
- Isaac Linstad
- Little Voices, LLC
All providers in Crescent Springs, KY · Physical Therapy Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.