Active NPI
Visionary Rehabilitation Services, LLC
Doing business as Visionary Therapy Center
- Speech-Language Pathologist
- Jackson, KY
National Provider Identifier
1144797754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- VISIONARY REHABILITATION SERVICES, LLC
- Doing business as
- Visionary Therapy Center
- Practice address
- 100 Kentucky Hwy 15 South
Suite 136
Jackson, KY 41339 - Phone
- (859) 229-4151
- NPI assigned
- Nov 1, 2018
- Last updated
- Nov 1, 2018
- Organization subpart
- Yes
- Parent organization
- VISIONARY REHABILITATION SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Byron Scott Johnston, CCC-SLP
- Title
- Ceo
- Phone
- (859) 229-4151
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
100 Kentucky Hwy 15 South
Suite 136
Jackson, KY 41339
Mailing address
408 Worthington Place
Richmond, KY 40475
Other names 1
- Visionary Therapy Center
National Provider Directory
National Provider Directory- Part of
- Visionary Rehabilitation Services LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Palm City, FL
- NPI 1295102622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541030400000",
"number": "1144797754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 WORTHINGTON PLACE",
"city": "RICHMOND",
"state": "KY",
"postal_code": "40475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KENTUCKY HWY 15 SOUTH",
"address_2": "SUITE 136",
"city": "JACKSON",
"state": "KY",
"postal_code": "41339",
"telephone_number": "859-229-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY REHABILITATION SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISIONARY REHABILITATION SERVICES, LLC",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "BYRON",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-229-4151",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visionary Therapy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, KY
- Jennifer Turner
- Katrina Rose Turner, APRN
- Susan Carol Turner, M.ED, LPCC
- United Clinics of Kentucky LLC (United Clinics Jackson)
- Anna Maria Vanover
- Visionary Therapy Center, LLC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0693)
- Walgreen Co (Walgreens #17526)
- Watts Healthcare Solutions PLLC (Jackson Physical Therapy)
- Kolby Allen Watts, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.