COMMONWEALTH REHABILITATION AND SPORTS MEDICINE P.S.C. NPI 1184670028

NPI Information

NPI: 1184670028
Provider Name: COMMONWEALTH REHABILITATION AND SPORTS MEDICINE, P.S.C.
Classification: Clinic/Center - 261QP2000X
Specialization: Physical Therapy
Entity Type: Organization
Doing Business As: HEARTLAND SPORTS MEDICINE & REHABILITATION
Address: 193 GLADES RD
BEREA, KY
ZIP 40403
Phone: (859) 986-1055

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NPI Details

COMMONWEALTH REHABILITATION AND SPORTS MEDICINE, P.S.C. is a physical therapy clinic center in Berea, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. COMMONWEALTH REHABILITATION AND SPORTS MEDICINE, P.S.C. NPI is 1184670028. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Sports Medicine & Rehabilitation.

The provider's business location address is:

193 GLADES RD
BEREA, KY
ZIP 40403-369
Phone: (859) 986-1055
Fax: (859) 986-1002

The provider's authorized official is Robert Mccray .
The authorized official title is Chief Operating Officer and has the following contact phone number (419) 537-0764.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8790053600	MEDICAID	KENTUCKY
2	00512	MEDICARE PIN	KENTUCKY
3	412190836-02	OTHER		OHIO BWC
4	611270800	OTHER		DEPARTMENT OF LABOR/OWCP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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