Active NPI
Matthew Harris
- Speech-Language Pathologist
- Bardstown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 101 Isaac Greer CT
Bardstown, KY 40004-2562 - Phone
- (502) 349-6214
- NPI assigned
- May 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | KY | Primary |
Addresses
Primary practice location
101 Isaac Greer CT
Bardstown, KY 40004-2562
Mailing address
993 Vine St
Louisville, KY 40204-2071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285504 | KY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Kentucky, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Kentucky, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Kentucky, LLC | Past | Accepting new patients | |
| Empowerme Rehabilitation Kentucky, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214
3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899
2141 Executive Dr
Lexington, KY 40505
Phone (859) 252-1939
9701 Whipps Mill Rd
Louisville, KY 40223
Phone (502) 426-2778
8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977
1900 Pleasant Valley Rd
Owensboro, KY 42303
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1275166696
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Florence, KY
- NPI 1669195640
-
- Rehabilitation Clinic/Center
- Lexington, KY
- NPI 1013587534
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Bowling Green, KY
- NPI 1669146254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1083350896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 VINE ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402042071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ISAAC GREER CT",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042562",
"telephone_number": "502-349-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.