Evolve Pediatrics, LLC
Organization Active NPI Pediatric Occupational Therapist · Henderson, KY
NPI 1003498973 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1003498973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- Legal business name
- EVOLVE PEDIATRICS, LLC
- Practice address
- 2480 US 41 N Ste B
Henderson, KY 42420-2376 - Phone
- (812) 228-6896
- NPI assigned
- Apr 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Kasie A Ballard, MS, OTR/L
- Title
- Owner/Occupational Therapist
- Phone
- (812) 228-6896
Practitioners 3
-
Kasie A Ballard, MS, OTR/L
-
Melissa Thomas, SPEECH THERAPIST
-
Rachael Pancake, OTD, OTR/L
National Provider Directory
Locations
2480 US 41 N
Ste B
Henderson, KY 42420
Phone (812) 228-6896
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist |
225XP0200X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
2480 US 41 N Ste B
Henderson, KY 42420-2376
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Other practice location 1
7949 Bell Oaks Dr
Newburgh, IN 47630-2503
Phone (270) 212-0175
Other providers in Henderson, KY
- Macy England
- Caylee Duncan Ervin
- Eric Douglas Ervin
- Lashagiorgi Esebua
- Evolve Early Intervention
- Extendicare Homes, Inc.
- Taunya Eyre
- Morgan Elizabeth Falconer
- Family Vision Care LLC
- Michael V Farina
All providers in Henderson, KY · Pediatric Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.