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

Jeffersontown Physical Therapy LLC

Organization Occupational Therapist · NPI 1124029996

Jeffersontown Physical Therapy LLC is an Occupational Therapist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
2
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

2152 S Hurstbourne Pkwy
Louisville, KY 40220-1622
Phone: (502) 449-0107
Fax: (502) 499-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (KY)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1124029996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vice President · (717) 972-1100
Other names Kort J-Town Physical Therapy
NPI enumeratedAugust 3, 2005
Last updated in NPPESNovember 26, 2014
Mailing address4714 Gettysburg Rd, Legal Department, Mechanicsburg, PA 17055-4325

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