KENTUCKY ORTHOPEDIC REHABILITATION LLC
NPI 1912907924
Clinic/Center - Rehabilitation in Georgetown, KY

NPI Status: Active since August 01, 2005

Contact Information

101 EASTSIDE DR
SUITE A
GEORGETOWN, KY
ZIP 40324
Phone: (502) 867-0111
Fax: (502) 867-0041

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  • Organization
  • Clinic/Center
  • Rehabilitation
  • Accepts Insurance
  • CLIA Number: 18D2178683
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About KENTUCKY ORTHOPEDIC REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Kentucky Orthopedic Rehabilitation Llc, a provider established in Georgetown, Kentucky operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1912907924 assigned on August 2005. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Kentucky Orthopedic Rehabilitation Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. John F Duggan (Chief Legal Officer)

NPI
1912907924
Provider Legal Name
KENTUCKY ORTHOPEDIC REHABILITATION LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
101 EASTSIDE DR SUITE A GEORGETOWN, KY 40324
Location Phone
(502) 867-0111
Location Fax
(502) 867-0041
Mailing Address
4714 GETTYSBURG RD LEGAL DEPARTMENT MECHANICSBURG, PA 17055
Mailing Phone
(717) 972-1100
Mailing Fax
(502) 867-0041
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2005
Last Update Date
09-30-2025
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Location Map

Secondary Locations

  • 118 Market Place Cir
    Georgetown, KY 40324
    (717) 972-1100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

(KY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN F DUGGAN

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(717) 972-1100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2178683
Facility Type
Physician Office
Certificate Effective Date
March 27, 2025
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. LESLYE S. JONES
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Kentucky Orthopedic Rehabilitation Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912907924, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 8 + 0 + 1 + 4 + 9 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1912907924.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
101 EASTSIDE DR
GEORGETOWN, KY 40324
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
101 EASTSIDE DR, SUITE A
GEORGETOWN, KY 40324
Physical Therapist
101 EASTSIDE DR, SUITE D
GEORGETOWN, KY 40324
Specialist
101 EASTSIDE DR, SUITE A
GEORGETOWN, KY 40324
Physical Therapist
101 EASTSIDE DR
GEORGETOWN, KY 40324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912907924, enumerated as an "organization" on August 01, 2005.

The provider is located at 101 EASTSIDE DR SUITE A GEORGETOWN, KY 40324 and the phone number is (502) 867-0111.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.