Organization Active NPI

Visionary Rehabilitation Services, LLC

Doing business as Visionary Therapy Center

  • Speech-Language Pathologist
  • Jackson, KY
National Provider Identifier
1144797754
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
VISIONARY REHABILITATION SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Mr. Byron Scott Johnston, CCC-SLPNPI 1295102622
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)CodeLicenseStatePrimary
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 Doing business as

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.

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

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.

Verify at the official NPI Registry.