Organization Active NPI

Sprout Pediatric Therapy

  • Speech-Language Pathologist
  • Calvert City, KY
National Provider Identifier
1063297380
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPROUT PEDIATRIC THERAPY
Practice address
323 E 5TH Ave
Calvert City, KY 42029-7600
Phone
(270) 713-7311
Fax
(270) 713-7401
NPI assigned
Aug 25, 2023
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Hayes Oliver, MS CCC-SLPNPI 1326703943
Title
Speech Language Pathologist
Phone
(270) 713-7311

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

323 E 5TH Ave
Calvert City, KY 42029-7600

Mailing address

323 E 5TH Ave
Calvert City, KY 42029-7600
Phone (270) 713-7311

National Provider Directory

National Provider Directory

Locations

323 E 5th Ave
Calvert City, KY 42029
Phone (270) 713-7311

914 E 5th Ave
Calvert City, KY 42029

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1063297380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E 5TH AVE",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420297600",
            "telephone_number": "270-713-7311",
            "fax_number": "270-713-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E 5TH AVE",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420297600",
            "telephone_number": "270-713-7311",
            "fax_number": "270-713-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "HAYES",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "270-713-7311",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calvert City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.