Healthcare Provider Details

I. General information

NPI: 1417160557
Provider Name (Legal Business Name): ZERO 2 THREE PEDIATRIC REHAB SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 HEARTLAND DRIVE
SOMERSET KY
42503-6297
US

IV. Provider business mailing address

1118 HEARTLAND DRIVE
SOMERSET KY
42503-6297
US

V. Phone/Fax

Practice location:
  • Phone: 606-305-7972
  • Fax: 606-678-2004
Mailing address:
  • Phone: 606-305-7972
  • Fax: 606-678-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1075951
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberR3712
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberR2191
License Number StateKY

VIII. Authorized Official

Name: MRS. STEFANIE YOUNG BROWN
Title or Position: OWNER CASE MANAGER
Credential: RN ADMINISTRATOR
Phone: 606-305-7972