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

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Lynn LynchNPI 1619406212

Title

Owner, Speech-Language Pathologist

Phone

(862) 268-6139

Specialties & licenses 3

Addresses

Locations

Practitioners 3

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.

• 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)

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

{
    "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": [],
    "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 (Nelson County Health Center)
• Lincoln Trail Homecare (Visiting Angels)
• McKenzie Danielle Linton, LCSW
• Lisa Sloan Woody OD PSC Bardstown Eye Care (Bardstown Eye Care Center)

• Speech-Language Pathologist in Bardstown, KY
• Providers in Bardstown, KY by specialty
• 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.