MEDICARE: GATEWAY REHAB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit	004673	KY

General Provider Information

NPI Number	:	1942348057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY REHAB

Provider Business Mailing Address
First Line	:	1245 WOODSDALE FARM DR
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-5772
Country	:	US
Telephone Number	:	502-921-9702
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HIGH POINT CT
Second Line	:
City	:	MOUNT WASHINGTON
State	:	KY
Zip	:	40047-6560
Country	:	US
Telephone Number	:	502-538-6360
Fax Number	:	502-753-5061

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GEORGE HERBIG
Credential	:	PT
Telephone Number	:	502-753-5060

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

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Directions to “GATEWAY REHAB ” Practice Location

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