Provider Demographics
NPI:1619011079
Name:BOGNER & CARR, INC.
Entity Type:Organization
Organization Name:BOGNER & CARR, INC.
Other - Org Name:ORTHOPAEDIC REHABILITATION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:B
Authorized Official - Last Name:REBITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:859-344-6647
Mailing Address - Street 1:350 THOMAS MORE PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5465
Mailing Address - Country:US
Mailing Address - Phone:859-344-6647
Mailing Address - Fax:859-344-6847
Practice Address - Street 1:350 THOMAS MORE PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5465
Practice Address - Country:US
Practice Address - Phone:859-344-6647
Practice Address - Fax:859-344-6847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2008-04-20
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
KYPT-124OtherHUMANA GROUP NUMBER
KYPT-124OtherHUMANA GROUP NUMBER
KYPT-124OtherHUMANA GROUP NUMBER