Healthcare Provider Details

I. General information

NPI: 1972995819
Provider Name (Legal Business Name): FOUNDATION HAND & PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 RADIO PARK DR STE 1
RICHMOND KY
40475-2998
US

IV. Provider business mailing address

350 RADIO PARK DR STE 1
RICHMOND KY
40475-2998
US

V. Phone/Fax

Practice location:
  • Phone: 859-625-5986
  • Fax: 859-625-5987
Mailing address:
  • Phone: 859-625-5986
  • Fax: 859-625-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number1972995819
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. HILARY L ARMSTRONG
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 859-625-5986