SN KENTUCKIANA REHAB, LLC (NPI# 1467918847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467918847 |
| Entity Type | Organization |
| Organization Name | SN KENTUCKIANA REHAB, LLC |
| Practice Address |
4010 Dupont Cir Ste L14 Louisville KY 40207-4825 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5028991911 |
| Practice Fax Number | 5028991981 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| KORT Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809045 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3509 S Hurstbourne Pkwy, Louisville, KY 40299-1364 | 2020-04-16 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1942867023 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 12101 Sycamore Station Pl Ste 110, Louisville, KY 40299-2114 | 2019-05-23 |
| 1750846515 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3 Audubon Plaza Dr Ste 112, Louisville, KY 40217-1300 | 2019-02-06 |
| 1710442520 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 9300 Stonestreet Rd Ste 400, Louisville, KY 40272-2895 | 2019-02-06 |
| 1497228886 | Sn Kentuckiana Rehab, LLC | Occupational Therapy Assistant | 12000 Aiken Rd, Louisville, KY 40243-2413 | 2019-01-08 |
| 1407329899 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 1212 Market St, La Grange, KY 40031-7986 | 2019-01-08 |
| 1326653080 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 4430 Crawford Ave, Louisville, KY 40258-3706 | 2020-09-10 |
| 1053944900 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2020-02-19 |
| 1487297495 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014-8679 | 2019-10-22 |
| Street Address |
4010 DUPONT CIR STE L14 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083193296 | Kayla Lim | Physical Therapist | 4010 Dupont Cir Ste L14, Louisville, KY 40207-4825 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809045 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3509 S Hurstbourne Pkwy, Louisville, KY 40299-1364 | 2020-04-16 |
| 1942843610 | Uofl Health-louisville Inc | Clinic/Center | 6801 Dixie Hwy # 189, Louisville, KY 40258-3913 | 2019-10-24 |
| 1942843602 | Uofl Health-louisville Inc | Clinic/Center | 100 High Rise Dr Ste 110, Louisville, KY 40213-3251 | 2019-10-24 |
| 1033752704 | Uofl Health-louisville Inc | Clinic/Center | 3430 Newburg Rd Ste 111a, Louisville, KY 40218-2497 | 2019-10-24 |
| 1962045625 | Uofl Health-louisville Inc | Clinic/Center | 4912 Us Highway 42 Ste 104, Louisville, KY 40222-6357 | 2019-10-24 |
| 1679116347 | Uofl Health-louisville Inc | Clinic/Center | 2401 Terra Crossing Blvd # 204, Louisville, KY 40245-5395 | 2019-10-24 |
| 1104469873 | Uofl Health-louisville Inc | Clinic/Center | 4801 Olympia Park Plz Ste 1600, Louisville, KY 40241-2095 | 2019-10-24 |
| 1265089486 | Brainwave Neurorehab, Pllc | Clinic/Center | 10315 Sterling Springs Rd, Louisville, KY 40223-2783 | 2019-08-22 |
| 1942867023 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 12101 Sycamore Station Pl Ste 110, Louisville, KY 40299-2114 | 2019-05-23 |
| 1750846515 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3 Audubon Plaza Dr Ste 112, Louisville, KY 40217-1300 | 2019-02-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on SN KENTUCKIANA REHAB, LLC.
| 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.