Healthcare Provider Details

I. General information

NPI: 1972686293
Provider Name (Legal Business Name): REBOUND ORTHOPAEDICS SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MEDICAL HEIGHTS DR SUITE F
FRANKFORT KY
40601-4137
US

IV. Provider business mailing address

101 MEDICAL HEIGHTS DR SUITE F
FRANKFORT KY
40601-4137
US

V. Phone/Fax

Practice location:
  • Phone: 502-875-1766
  • Fax: 502-875-9940
Mailing address:
  • Phone: 502-875-1766
  • Fax: 502-875-9940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE R ARMSTRONG
Title or Position: OFFICE MANAGER
Credential:
Phone: 502-875-1766