Healthcare Provider Details

I. General information

NPI: 1205103587
Provider Name (Legal Business Name): JONI FLAHERTY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 PARK PLAZA DR
OWENSBORO KY
42301-5485
US

IV. Provider business mailing address

605 PARK PLAZA DR
OWENSBORO KY
42301-5485
US

V. Phone/Fax

Practice location:
  • Phone: 270-478-4366
  • Fax: 270-478-4367
Mailing address:
  • Phone: 270-478-4366
  • Fax: 270-478-4367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JONI M FLAHERTY
Title or Position: OWNER
Credential: PT
Phone: 270-478-4366