NPIMap

Organization Active NPI

Kentucky Orthopedic Rehabilitation LLC

Doing business as KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Georgetown, KY
National Provider Identifier
1912907924
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KENTUCKY ORTHOPEDIC REHABILITATION LLC
Doing business as
KORT Physical Therapy
Practice address
101 Eastside Dr
Suite a
Georgetown, KY 40324-8763
Phone
(502) 867-0111
Fax
(502) 867-0041
NPI assigned
Aug 1, 2005
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X KY
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

101 Eastside Dr
Suite a
Georgetown, KY 40324-8763

Mailing address

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

Other practice location 1

118 Market Place Cir
Georgetown, KY 40324-7401
Phone (717) 972-1100

Other names 1

  • KORT Physical Therapy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000687 KY Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345157293 Practice locations: Georgetown, KY
O20090211000813 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345157293 Receives reassigned benefits from 76 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Campbellsville, KY; Columbia, KY; Georgetown, KY; Murray, KY; Richmond, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912907924. Details of each certification follow.

  • CCN 186536 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 186536

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
KORT - GEORGETOWN PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 20, 1997
Last certification
Jun 26, 2019
Ownership / control type
Proprietary
Most recent change of ownership
Jan 1, 2004
Facility address
101 Eastside Drive, Suite a
Georgetown, KY 40324

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Kort-Kentucky Orthopedic Rehab Team10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

101 Eastside Dr
Ste A
Georgetown, KY 40324
Phone (502) 570-9835

118 Market Place Cir
Georgetown, KY 40324

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
KortJeffersonville, IN, CCN 157660 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 4, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1912907924",
    "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": "101 EASTSIDE DR",
            "address_2": "SUITE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248763",
            "telephone_number": "502-867-0111",
            "fax_number": "502-867-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Market Place Cir",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403247401",
            "country_code": "US",
            "telephone_number": "717-972-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY ORTHOPEDIC REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "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": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.