Healthcare Provider Details

I. General information

NPI: 1023013836
Provider Name (Legal Business Name): HORNSBY REHABILITATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 JIM BERRY RD
FRANKLIN NC
28734-8660
US

IV. Provider business mailing address

PO BOX 632651
CINCINNATI OH
45263-2651
US

V. Phone/Fax

Practice location:
  • Phone: 828-369-7878
  • Fax: 828-369-8760
Mailing address:
  • Phone: 702-818-5000
  • Fax: 702-818-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC ELDON DOUGLASS
Title or Position: CCO
Credential: PT
Phone: 239-947-4184