SN KENTUCKIANA REHAB, LLC
NPI 1063978435
Durable Medical Equipment & Medical Supplies in Louisville, KY

Q: What is Sn Kentuckiana Rehab, LLC's NPI number?

The NPI number for Sn Kentuckiana Rehab, LLC is 1063978435. It was assigned to this organization in the NPPES registry on February 11, 2019. The provider is doing business as KORT Physical Therapy.

Q: What is Sn Kentuckiana Rehab, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since February 11, 2019

2152 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220(502) 499-0107(502) 499-0535 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sn Kentuckiana Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SN KENTUCKIANA REHAB, LLC (NPI 1063978435), doing business as Kort Physical Therapy, is a healthcare organization registered as a durable medical equipment & medical supplies in Louisville, Kentucky and active in the NPI registry since February 2019. The organization lists Michael Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1063978435

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSN KENTUCKIANA REHAB, LLC

Location Address2152 S HURSTBOURNE PKWYLouisville, KY 40220-1622

Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325

Phone(502) 499-0107

Fax(502) 499-0535

Organization SubpartYesParent: Select Medical

Authorized OfficialMichael TarvinVice President · (717) 972-1100

Enumeration DateFebruary 11, 2019

✔ NPI 1063978435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2152 S HURSTBOURNE PKWY, Louisville, KY 40220

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Other Names 1

Doing Business AsKort Physical Therapy

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sn Kentuckiana Rehab, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20190501002824DME · Independently-Practicing Physical TherapistDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COREY MALONE PT, DPT

Physical Therapist (Orthopedic)