Professional Rehabilitation Associates, Psc in Richmond - Electrophysiology, Clinical
Professional Rehabilitation Associates, Psc - NPI 1669463170
Professional Rehabilitation Associates, Psc is a Electrophysiology, Clinical in Richmond, Kentucky. Professional Rehabilitation Associates, Psc practices all healthcare services and medical treatments related to Electrophysiology, Clinical. The NPI Number for Professional Rehabilitation Associates, Psc is 1669463170. The last update date is 2018-12-21.
Professional Rehabilitation Associates, Psc's current location address is 5027 Atwood Dr Ste 2b, Richmond, Kentucky. You can contact this provider via phone number 8596250001 and fax number 8956251109. The mailing address for Professional Rehabilitation Associates, Psc is 5027 Atwood Dr Ste 2b, Richmond, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Rehabilitation Associates, Psc |
|---|---|
| Address | 5027 Atwood Dr Ste 2b, Richmond, Kentucky |
| Phone Number | 8596250001 |
| Fax Number | 8956251109 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Brooks E Mark |
| Credentials | PT |
| Telephone Number | 8596250001 |
NPI Number Detail
| NPI Number | 1669463170 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2018-12-21 |
Provider Mailing Address Detail
| Address | 5027 Atwood Dr Ste 2b |
|---|---|
| City | Richmond |
| State | Kentucky (KY) |
| Post Code | 404758322 |
| Phone Number | 8596250001 |
| Fax Number | 8956251109 |
Provider's Primary Taxonomy Detail
| Speciality | Electrophysiology, Clinical |
|---|---|
| Taxonomy | 2251E1300X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190632 | KY | BC/BS P-EMG | |
| 47015 | KY | NGS PARIS | |
| 215122 | KY | BC/BS SPTA | |
| 310944 | KY | BC/BS RPTA | |
| 60027 | KY | BC/BS LPTA | |
| 42858 | KY | NSG RPTA | |
| 4378 | KY | NGS LPTA | |
| 333709 | KY | BC/BS HPTA | |
| 87900312 | KY | -- | |
| 199364 | KY | BC/BS PARIS |
Post Comment/ Review Below
What is the Professional Rehabilitation Associates, Psc's 1669463170?
The Professional Rehabilitation Associates, Psc's NPI (National Provider Identifier) Number is 1669463170. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Professional Rehabilitation Associates, Psc located?
The Professional Rehabilitation Associates, Psc is located at 5027 Atwood Dr Ste 2B, Richmond, KY 404758322.
What is the Professional Rehabilitation Associates, Psc's specialty and taxonomy code?
The Professional Rehabilitation Associates, Psc's specialty is Electrophysiology, Clinical, and the corresponding taxonomy code is 2251E1300X.
On what date did the Professional Rehabilitation Associates, Psc receive its 1669463170 assignment from the Centers for Medicare & Medicaid Services?
The Professional Rehabilitation Associates, Psc was assigned its 1669463170 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date was the information regarding Professional Rehabilitation Associates, Psc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Professional Rehabilitation Associates, Psc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-21.
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