Light the Way Pediatric Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LIGHT THE WAY PEDIATRIC THERAPY SERVICES, LLC

Practice address

107 Manor Ave Ste 204
Bardstown, KY 40004-2800

Phone

(502) 233-1305

Fax

(502) 509-0612

NPI assigned

Jul 30, 2019

Organization subpart

No

Name

Samantha Lynn LynchNPI 1619406212

Title

Owner, Speech-Language Pathologist

Phone

(862) 268-6139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Lynch, SLP

  • Speech-Language Pathologist
  • Bardstown, KY
  • NPI 1619406212
  NPD Authorized official
• Julia Rogers

  • Speech-Language Pathologist
  • Bardstown, KY
  • NPI 1891481347
  NPD
• Amanda Lee Keeling Walton, OTR/L

  • Occupational Therapist
  • Bardstown, KY
  • NPI 1184596025
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2021.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1164076832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CHESTER HAHN RD",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400087014",
            "telephone_number": "862-268-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MANOR AVE STE 204",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042800",
            "telephone_number": "502-233-1305",
            "fax_number": "502-509-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Chester Hahn Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "KY",
            "postal_code": "400087014",
            "country_code": "US",
            "telephone_number": "862-268-6139 x86226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHT THE WAY PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "862-268-6139"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100719410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillena Marie Leonard, PHARMD
• Dominique Renee Leroy, APRN
• Erin Elizabeth Lewis, LPCC
• Robin Lea Lewis, APSS
• Life Care Center of Bardstown
• Kathryn Hagan Lile
• Lincoln Trail District Health Department
• Lincoln Trail Homecare
• McKenzie Danielle Linton, LCSW
• Lisa Sloan Woody OD PSC Bardstown Eye Care

• All providers in Bardstown, KY
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.