Liberty Rehabilitation Psc

LBN: Liberty Rehabilitation Psc
Liberty Rehabilitation Psc is an health care organization with primary practice located at 100 Ymca Dr Suite 5, Madisonville KY 42431-9000. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Liberty Rehabilitation Psc can be contacted via phone (270) 824-9227, or through Waide, Forrest L via phone (270) 824-9227.

Contact Information

Primary practice address
100 Ymca Dr Suite 5 Madisonville KY 42431-9000
Phone: (270) 824-9227
Fax: (270) 824-9206
Website:
Map and Directions
Authorized official contact:
Name: Waide, Forrest L Physical Therapist (PT)
Phone: (270) 824-9227

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X Kentucky

Profile Details

NPI number 1588610513
LBN Legal business name Liberty Rehabilitation Psc
DBA Doing business as
Authorized official Waide, Forrest L Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated May 13th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588610513 NPPES
Kentucky Other 000000477211 ANTHEM FACET GROUP #

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