Sn Kentuckiana Rehab, LLC
Clinic/Center, Rehabilitation in Louisville, KY. Organization (NPI-2).
Details
- NPI
- 1669971123
- Entity type
- Organization (NPI-2)
- Legal business name
- Sn Kentuckiana Rehab, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 9, 2018
- Last updated
- Feb 6, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Kort Physical Therapy (Doing Business As)
Practice location
410 N Hurstbourne Pkwy Ste 104Louisville, KY 40222
Phone 502-426-2120 · Fax 502-426-0362
Mailing address
4714 Gettysburg RdMechanicsburg, PA 17055-4325
Other practice locations
Gilbert, AZ 85234-2177
Phone 480-813-7900 · Fax 480-813-7901
Authorized official
Michael Tarvin
Vice President
7179721100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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