COMMONWEALTH REHABILITATION AND SPORTS MEDICINE, P.S.C. (NPI# 1184670028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184670028 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH REHABILITATION AND SPORTS MEDICINE, P.S.C. |
| Other Organization Name | HEARTLAND SPORTS MEDICINE & REHABILITATION |
| Practice Address |
193 Glades Rd Berea KY 40403-1369 |
| Mailing Address |
3425 Executive Parkway Toledo OH 43606-1333 |
| Practice Telephone | 8599861055 |
| Practice Fax Number | 8599861002 |
| Mailing Telephone | 4195370764 |
| Mailing Fax Number | 4195370948 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | MR. ROBERT MCCRAY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4195370764 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 8790053600 | 05 | |
| OHIO BWC | 412190836-02 | 01 | |
| DEPARTMENT OF LABOR/OWCP | 611270800 | 01 |
| Other Name | Type Code |
|---|---|
| Heartland Sports Medicine & Rehabilitation | Doing Business As Name - Organization |
| Street Address |
193 GLADES RD |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965699 | Ashley Brashear | Physical Therapist | 193 Glades Rd, Berea, KY 40403-2261 | 2017-11-09 |
| 1629449301 | Emily Kemp | Physical Therapist | 193 Glades Rd, Berea, KY 40403-2261 | 2015-10-07 |
| 1063821148 | Deisaree Paige Brandenburg | Occupational Therapist | 193 Glades Rd, Berea, KY 40403-2261 | 2014-08-04 |
| 1275888786 | Jessica Vanwinkle | Occupational Therapist | 193 Glades Rd, Berea, KY 40403-2261 | 2012-07-20 |
| 1205192721 | H2 Rehabilitation Services of Kentucky, LLC | Clinic/Center | 193 Glades Rd, Berea, KY 40403-2261 | 2012-04-10 |
| 1639115363 | Ernestine C Brashear | Physical Therapist | 193 Glades Rd, Berea, KY 40403-1369 | 2006-06-21 |
| 1003852138 | Jeffrey David Leone | Occupational Therapist | 193 Glades Rd, Berea, KY 40403-1369 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755354 | Thrive Therapies Pllc | Clinic/Center | 1701 Nicholasville Rd Ste 200, Lexington, KY 40503-1459 | 2020-09-16 |
| 1134743396 | The Female Athlete Physio, LLC | Clinic/Center | 3705 Grandview Ave, Louisville, KY 40207-3711 | 2020-06-03 |
| 1578185039 | Hope & Horses Rehabilitation LLC | Clinic/Center | 3348 Howell Drennen Rd, Mt Sterling, KY 40353-9112 | 2020-05-07 |
| 1477174977 | Morgan Cimala Pt Pllc | Clinic/Center | 512 Natures Pointe Dr, Somerset, KY 42503-6259 | 2020-05-06 |
| 1649808114 | Confluent Health LLC | Clinic/Center | 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 | 2020-03-31 |
| 1023642485 | Dunn Physical Therapy, Pllc | Clinic/Center | 9506 Norton Commons Blvd, Prospect, KY 40059-7520 | 2020-02-25 |
| 1346871571 | Inspire Physical Therapy, LLC | Clinic/Center | 14901 Forest Oaks Dr, Louisville, KY 40245-6509 | 2020-01-27 |
| 1740810936 | Legacy Physical Therapy | Clinic/Center | 237 E Highway 60, Hardinsburg, KY 40143-4892 | 2020-01-16 |
| 1205470770 | Pain and Performance Solutions LLC | Clinic/Center | 102 Daventry Ln Ste 5, Louisville, KY 40223-2869 | 2019-10-29 |
| 1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.