ELIZABETHTOWN PHYSICAL THERAPY PSC (NPI# 1457352007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457352007 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN PHYSICAL THERAPY PSC |
| Other Organization Name | KORT PHYSICAL THERAPY |
| Practice Address |
815 Fairway Dr Suite C Brandenburg KY 40108 |
| Mailing Address |
4716 Old Gettysburg Rd Legal Department Mechanicsburg PA 17055 |
| Practice Telephone | 2704223366 |
| Practice Fax Number | 2704223378 |
| Mailing Telephone | 7179754503 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2008-03-11 |
| NPI Deactivation Date | 10/10/2006 |
| NPI Reactivation Date | 2006-10-30 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179754503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PTPP | 8900 | 01 |
| Other Name | Type Code |
|---|---|
| KORT Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1437354750 | Elizabethtown Physical Therapy Psc | Clinic/Center | 3211 Frederica Street Tower Place, Suite A, Owensboro, KY 42301 | 2007-06-18 |
| 1073514626 | Elizabethtown Physical Therapy Psc | Clinic/Center | 12330 Shelbyville Rd, Suite 300, Louisville, KY 40243-1471 | 2005-08-04 |
| 1609877679 | Elizabethtown Physical Therapy Psc | Clinic/Center | 709 E Main St, Lebanon, KY 40033 | 2005-08-02 |
| 1760483739 | Elizabethtown Physical Therapy Psc | Clinic/Center | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2005-08-02 |
| 1255332193 | Elizabethtown Physical Therapy Psc | Clinic/Center | 1909 Campbellsville Rd, Greensburg, KY 42743 | 2005-08-02 |
| 1194726166 | Elizabethtown Physical Therapy Psc | Clinic/Center | 9424 Brownsboro Rd, Louisville, KY 40241 | 2005-08-02 |
| Street Address |
815 FAIRWAY DR SUITE C |
| City | BRANDENBURG |
| State | KY |
| Zip Code | 40108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604625 | Kyle Joseph King | Family Medicine | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2005-07-22 |
| 1083802151 | Kimberly Ann Devries | Physical Therapist | 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 | 2007-10-14 |
| 1366548596 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 815 Fairway Dr, Suite C, Brandenburg, KY 40108-1415 | 2006-09-15 |
| 1982666921 | Debra Hines | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-05 |
| 1083676308 | Jason Chambers | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1306808712 | Dee Jay Hall | Occupational Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1205898616 | Margaret King | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1013979343 | Elizabeth Hite Rogers | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1467414870 | Iris R Stull | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-04-03 |
| 1881655579 | Rob Gentile | Physical Therapist | 815 Fairway Dr, Brandenburg, KY 40108-1415 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468036 | Elisabeth Shoulders | Specialist/Technologist | 1010 Turner Road, Brandenburg, KY 40108 | 2017-07-03 |
| 1760890958 | Kimberly Ryan | Social Worker | 2020 Bypass Rd, Brandenburg, KY 40108 | 2014-07-31 |
| 1962790600 | Meade Family Eye, Pllc | Optometrist | 664 By Pass Rd, Brandenburg, KY 40108 | 2011-07-15 |
| 1295066934 | Raymond Lewis Mathis | Family Medicine | 65 Cedar Vista Dr, Brandenburg, KY 40108 | 2010-01-20 |
| 1790951804 | Elizabeth Mary Wright | Physical Therapist | 1155 Old Ekron Rd, Brandenburg, KY 40108 | 2008-05-08 |
| 1427240704 | Bluegrass Massage Theraputics | Clinic/Center | 365 East Broadway Suite 2, Brandenburg, KY 40108 | 2007-08-10 |
| 1710969316 | Lincoln Trail District Health Dept | Public Health or Welfare | 520 Hillcrest Dr, Brandenburg, KY 40108 | 2005-11-18 |
| 1437676475 | Ack Healthcare Management, LLC | Nurse Practitioner | 2025 Bypass Rd Ste 205, Brandenburg, KY 40108 | 2017-08-29 |
| 1598135055 | Forefront Dermatology, S.c. | Dermatology | 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 | 2015-09-28 |
| 1457479396 | Robert Eugene Smith | Family Medicine | 534 Hillcrest Drive, Brandenburg, KY 40108 | 2007-03-27 |
| Find all providers in zip 40108 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427240704 | Bluegrass Massage Theraputics | Clinic/Center | 365 East Broadway Suite 2, Brandenburg, KY 40108 | 2007-08-10 |
| 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 | ||||
| City | BRANDENBURG |
| Zip Code | 40108 |
Please comment or provide details below to improve the information on ELIZABETHTOWN PHYSICAL THERAPY PSC.
| 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.