SOUTHEASTERN KENTUCKY PHYSICAL THERAPY CLINIC INC (NPI# 1801873716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801873716 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN KENTUCKY PHYSICAL THERAPY CLINIC INC |
| Other Organization Name | CORBIN PHYSICAL THERAPY CLINIC |
| Practice Address |
1480 18th St Corbin KY 40701-2721 |
| Practice Telephone | 6065280870 |
| Practice Fax Number | 6065283449 |
| Mailing Telephone | 6065280870 |
| Mailing Fax Number | 6065283449 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | MR. WALTER KIM CHEARY (OWNER) |
| Authorized Official Telephone | 6065280870 |
| 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 |
|---|---|---|---|
| ANTHEM | 0D0000059454 | 01 |
| Other Name | Type Code |
|---|---|
| Corbin Physical Therapy Clinic | Doing Business As Name - Organization |
| Street Address |
1480 18TH ST |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294899 | Walter K. Cleary | Physical Therapist | 1480 18th St, Corbin, KY 40701-2721 | 2005-06-08 |
| 1942208129 | Annette Binder Albright | Physical Therapist | 1480 18th St, Corbin, KY 40701-2721 | 2005-07-12 |
| 1386648335 | Lisa S. Cleary | Physical Therapist | 1480 18th St, Corbin, KY 40701-2721 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578962619 | Kim M. Walden, Pt Inc. | Clinic/Center | 626 Oak Ridge Church Rd, Corbin, KY 40701-5239 | 2014-08-14 |
| 1407025810 | Hometown Physical Therapy, Pllc | Clinic/Center | 121 Bishop St, Corbin, KY 40701-1702 | 2008-02-29 |
| 1508059023 | Hopper Physical Therapy, LLC | Clinic/Center | 1805 S Main St, Suite #5, Corbin, KY 40701-2406 | 2007-08-20 |
| 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.