OrganizationActive
Central Kentucky Rehabilitation, LLC
NPI 1659558211 · Physical Therapy Clinic/Center · Lebanon, KY
Provider details
- NPI number
- 1659558211
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Mooney, Owner/Operator(270) 699-2356
- License
- 004310 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 W Main St
Suite 121
Lebanon, KY 40033-1260
Phone: (270) 699-2356
Fax: (270) 699-2995
Street-level locationGet directions
Mailing address
255 W Main St
Lebanon, KY 40033-1260
Registry dates
- Enumerated
- 2008-01-25
- Last updated
- 2008-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.