Prorehab, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROREHAB, INC

Practice address

303 E 14TH St
Owensboro, KY 42303-3056

Phone

(270) 926-7779

NPI assigned

Feb 25, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea L. Baumann

Title

Coo

Phone

(812) 759-7473

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Prorehab Inc

  dba ProRehab of Bowling Green

  • Physical Therapy Clinic/Center
  • Bowling Green, KY
  • NPI 1760976146

  O20180712001913

  Same enrollment
• Prorehab Inc

  • Physical Therapy Clinic/Center
  • Bowling Green, KY
  • NPI 1962052043

  O20180712001913

  Same enrollment
• Prorehab, Inc

  dba Kentucky Physical Therapy Specialists

  • Physical Therapy Clinic/Center
  • Madisonville, KY
  • NPI 1831406354

  O20180712001913

  Same enrollment
• Prorehab, Inc

  • Physical Therapy Clinic/Center
  • Henderson, KY
  • NPI 1972765386

  O20180712001913

  Same enrollment
• Prorehab Inc

  • Physical Therapist
  • Evansville, IN
  • NPI 1770565509

  O20180712001913

  Same enrollment

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1801480223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-401-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E 14TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033056",
            "telephone_number": "270-926-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BAUMANN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "812-759-7473"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Rehab, Inc.
• Progressive Sports Therapy, LLC.
• Progressive Sports Therapy, LLC.
• Progressive Therapy and Wellness
• Prorehab, Inc
• Marshall Edward Prunty, MD
• Trina Pryor, SLP
• Publix Super Markets Inc (Publix Pharmacy #2053)
• Publix Super Markets Inc (Publix Pharmacy #2064)
• Cassie Puckett, LCSW, LCADC, ICGC-I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.