Organization Active NPI

Jennifer Metts Pediatric Therapy Group LLC

  • Pediatric Occupational Therapist
  • Louisville, KY
National Provider Identifier
1033834155
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
JENNIFER METTS PEDIATRIC THERAPY GROUP LLC
Practice address
301 Middletown Park PL Ste G
Louisville, KY 40243-2515
Phone
(812) 306-6282
Fax
(866) 292-0327
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Jennifer MettsNPI 1558013672
Title
Occupational Therapist
Phone
(812) 306-6282

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

301 Middletown Park PL Ste G
Louisville, KY 40243-2515

Mailing address

301 Middletown Park PL Ste G
Louisville, KY 40243-2515
Phone (812) 306-6282

National Provider Directory

National Provider Directory

Locations

301 Middletown Park Pl
Louisville, KY 40243

301 Middletown Park Pl
Ste G
Louisville, KY 40243
Phone (812) 306-6282

Practitioners & affiliated clinicians

Practitioners 1

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1033834155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MIDDLETOWN PARK PL STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432515",
            "telephone_number": "812-306-6282",
            "fax_number": "866-292-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MIDDLETOWN PARK PL STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432515",
            "telephone_number": "812-306-6282",
            "fax_number": "866-292-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER METTS PEDIATRIC THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "METTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "812-306-6282"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 5, 2023; 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.