Organization
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE
Active
Parent organization
ORTHOCINCY
Other names
Commonwealth Orthopaedic Centers PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOCINCY
Authorized official
JOANN M REIS (CEO/MANAGER)
(859) 817-7070
Entity
Organization
Contact information
Practice address
560 SOUTH LOOP ROAD, EDGEWOOD, KY 41017-5102
(859) 301-0700
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(513) 557-4270
(513) 557-3214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942401
—
KY
05
—
8790057700
—
KY
Enumeration date
01/13/2006
Last updated
07/30/2021
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