Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabethtown Physical Therapy, LLC

Organization Physical Therapist · NPI 1790039667

Elizabethtown Physical Therapy, LLC is a Physical Therapist in Lexington, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 N Eagle Creek Dr Ste 110
Lexington, KY 40509-1806
Phone: (859) 294-8320
Fax: (859) 299-3508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Physical Therapist Taxonomy 225100000X
Hand Physical Therapist Taxonomy 2251H1200X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1790039667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vice President · (717) 972-1100
NPI enumeratedOctober 31, 2012
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020
Mailing address4714 Gettysburg Rd, Legal Department, Mechanicsburg, PA 17055-4325

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