Provider Demographics
NPI:1871560128
Name:ASSOCIATES IN REHAB PIKEVILLE LLC
Entity type:Organization
Organization Name:ASSOCIATES IN REHAB PIKEVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:N
Authorized Official - Last Name:OUSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-9888
Mailing Address - Street 1:PO BOX 2530
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502
Mailing Address - Country:US
Mailing Address - Phone:606-436-6600
Mailing Address - Fax:
Practice Address - Street 1:83 DEWEY ST
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-7923
Practice Address - Country:US
Practice Address - Phone:606-886-9888
Practice Address - Fax:606-886-9416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
64610OtherANTHEM BC/BS
KY7100348050Medicaid
KYP00077771OtherMEDICARE RAILROAD
5022703Medicare ID - Type Unspecified