Organization
PROFESSIONAL REHABILITATION ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E BROOKS PT (CEO)
(859) 625-0001
Entity
Organization
Contact information
Practice address
312 JASON DR STE 5, RICHMOND, KY 40475-2785
(859) 625-0001
(895) 625-1109
Mailing address
312 JASON DR STE 5, RICHMOND, KY 40475-2785
(859) 625-0001
(895) 625-1109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KY
2251E1300X
Clinical Electrophysiology Physical Therapist
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060027
BC/BS LPTA
KY
01
—
000000190632
BC/BS P-EMG
KY
01
—
000000199364
BC/BS PARIS
KY
01
—
000000215122
BC/BS SPTA
KY
01
—
000000310944
BC/BS RPTA
KY
01
—
000000333709
BC/BS HPTA
KY
01
—
11128
NGS HPTA
KY
01
—
42858
NSG RPTA
KY
01
—
4378
NGS LPTA
KY
01
—
47015
NGS PARIS
KY
01
—
47016
NSG SPTA
KY
05
—
87900312
—
KY
01
—
DB9812
RAILROAD MCR
KY
Enumeration date
11/03/2005
Last updated
12/02/2025
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