Provider Demographics
NPI:1801811138
Name:FRANK, REBECCA JARBOE (PT, DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:JARBOE
Last Name:FRANK
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10620 S HIGHWAY 259
Mailing Address - Street 2:
Mailing Address - City:MC DANIELS
Mailing Address - State:KY
Mailing Address - Zip Code:40152-7236
Mailing Address - Country:US
Mailing Address - Phone:270-257-8094
Mailing Address - Fax:270-257-8094
Practice Address - Street 1:10620 S HIGHWAY 259
Practice Address - Street 2:
Practice Address - City:MC DANIELS
Practice Address - State:KY
Practice Address - Zip Code:40152-7236
Practice Address - Country:US
Practice Address - Phone:270-257-8094
Practice Address - Fax:270-257-8094
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004892225100000X, 2251P0200X, 2251X0800X
252Y00000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty