Organization Active NPI

Mountain Rehabilitation Services, LLC

  • Physical Therapist
  • Corbin, KY
National Provider Identifier
1851627244
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002081 Issued in KY
Legal business name
MOUNTAIN REHABILITATION SERVICES, LLC
Practice address
702 Phillips LN
Corbin, KY 40701-2144
Phone
(606) 524-4287
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Authorized official

Name
Jeffrey Glen Maguet, PTNPI 1336392893
Title
Owner
Phone
(606) 524-4287

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 002081 KY Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 005497 KY
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X A01560 KY
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X A01938 KY
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X A02336 KY

Addresses

Primary practice location

702 Phillips LN
Corbin, KY 40701-2144

Mailing address

702 Phillips LN
Corbin, KY 40701-2144
Phone (606) 524-4287

National Provider Directory

National Provider Directory
Tax ID family
Mountain Rehabilitation Services2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1851627244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PHILLIPS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012144",
            "telephone_number": "606-524-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PHILLIPS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012144",
            "telephone_number": "606-524-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "MAGUET",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-524-4287",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002081",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005497",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01560",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01938",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.