Organization
NEW CPT & R, INC.
Active
Other names
Commonwealth Physical Therapy and Rehabilitation- Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCCRAY P.T. (CHIEF OPERATING OFFICER)
(859) 278-2121
Entity
Organization
Contact information
Practice address
107 FRAZIER CT, SUITE 102, GEORGETOWN, KY 40324-8973
(502) 570-5854
(502) 570-9110
Mailing address
PO BOX 911148, LEXINGTON, KY 40591-1148
(859) 278-2121
(859) 276-1649
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389107
ANTHEM PT PROVIDER NUMBER
KY
Enumeration date
08/17/2006
Last updated
04/20/2008
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