Provider Demographics
NPI:1346293065
Name:REHABILITATION SERVICES PSC
Entity Type:Organization
Organization Name:REHABILITATION SERVICES PSC
Other - Org Name:PHYSICAL THERAPY PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:502-767-5228
Mailing Address - Street 1:3810 ZARING MILL CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-3052
Mailing Address - Country:US
Mailing Address - Phone:502-767-5228
Mailing Address - Fax:502-454-5562
Practice Address - Street 1:3052 BARDSTOWN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3020
Practice Address - Country:US
Practice Address - Phone:502-454-5544
Practice Address - Fax:502-454-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY87900569Medicaid
KY87900569Medicaid