NPIMap

Organization Active NPI

Children's Therapy Center, PSC

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1003849639
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R1137 Issued in KY
Legal business name
CHILDREN'S THERAPY CENTER, PSC
Practice address
13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Phone
(502) 244-1210
Fax
(502) 473-6798
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa Hough, OTR/LNPI 1447595707
Title
President
Phone
(502) 267-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT-004789 KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X R1137 KY Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 4307 KY

Addresses

Primary practice location

13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984

Mailing address

13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Phone (502) 244-1210

Other practice location 1

11802 Brinley Ave
Suite 100
Louisville, KY 40243-1089
Phone (502) 244-1210

Other identifiers 2

IdentifierTypeStateIssuer
7100354720MedicaidKY
7100360790MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@childrenstherapy.org Direct

National Provider Directory

National Provider Directory

Locations

11802 Brinley Ave
Ste 100
Louisville, KY 40243
Phone (502) 244-1210

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1003849639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 EASTGATE PARK WAY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233984",
            "telephone_number": "502-244-1210",
            "fax_number": "502-473-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 EASTGATE PARK WAY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233984",
            "telephone_number": "502-244-1210",
            "fax_number": "502-473-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11802 Brinley Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431089",
            "country_code": "US",
            "telephone_number": "502-244-1210",
            "fax_number": "502-244-1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "HOUGH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-267-4478",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-004789",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R1137",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "4307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100354720",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100360790",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@childrenstherapy.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13010 Eastgate Park Way Ste 101",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402233984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.