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NPI Code Detail

MEDICARE: KENTUCKY ORTHOPEDIC REHABILITATION LLC

MEDICARE: KENTUCKY ORTHOPEDIC REHABILITATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center
2225100000XPhysical Therapist
3261QP2000XPhysical Therapy Clinic/CenterKY

General Provider Information

NPI Number : 1932100971
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENTUCKY ORTHOPEDIC REHABILITATION LLC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line : LEGAL DEPARTMENT
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-972-1100
Fax Number : 717-975-9981
Provider Business Practice Location Address
First Line : 3070 LAKE CREST CIRCLE
Second Line : SUITE 700
City : LEXINGTON
State : KY
Zip : 40513
Country : US
Telephone Number : 859-296-4080
Fax Number : 859-293-4182
Authorized Official
Title or Position : VICE PRESIDENT
Name : JOHN F DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 08/01/2005
Last Update Date : 10/17/2025

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Directions to “KENTUCKY ORTHOPEDIC REHABILITATION LLC ” Practice Location

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