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NPI Code Detail

MEDICARE: PHYSICAL THERAPY & REHABILITATION SERVICES, PC

MEDICARE: PHYSICAL THERAPY & REHABILITATION SERVICES, PC
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
1261QP2000XPhysical Therapy Clinic/Center
2261QR0400XRehabilitation Clinic/Center
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1952882243
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY & REHABILITATION SERVICES, PC
Provider Business Mailing Address
First Line : 805 N WHITTINGTON PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-7101
Country : US
Telephone Number : 502-394-2100
Fax Number :
Provider Business Practice Location Address
First Line : 1610 ARDEN WAY STE 195
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4035
Country : US
Telephone Number : 916-649-1379
Fax Number : 916-649-1705
Authorized Official
Title or Position : PROVIDER ENROLLMENT
Name : MR. TIMOTHY WHOBREY
Credential :
Telephone Number : 502-630-7249
Provider Enumeration Date : 08/24/2018
Last Update Date : 08/31/2020

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Directions to “PHYSICAL THERAPY & REHABILITATION SERVICES, PC ” Practice Location

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