Family First Pediatric Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

FAMILY FIRST PEDIATRIC THERAPY LLC

Practice address

1109 Metalwood Dr
Bardstown, KY 40004-2635

Phone

(502) 373-9597

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sean Anderson

Title

Member

Phone

(502) 373-9597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1053876987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 METALWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042635",
            "telephone_number": "502-373-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 METALWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042635",
            "telephone_number": "502-373-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-373-9597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellianne Eriksen, D.C.
• Laura Katherine Escher-Howell, D.M.D.
• Essential Health Care LLC
• Sarah Greenwell Evans, APRN-NP
• Family Chiropractic
• Jeeshan Ali Faridi, M.D.
• Alyssa Claire Farmer, DMD
• Amy Elizabeth Farrell, M.D.
• Robert Joseph Farrell IV, M.D.
• Fast Pace Kentucky PLLC (Fast Pace Health)

• Early Intervention Provider Agency in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.