Organization Active NPI

Breath and Balance Pediatric Therapy, LLC

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1164209607
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BREATH AND BALANCE PEDIATRIC THERAPY, LLC
Practice address
120 E Reynolds Rd Ste 3
Lexington, KY 40517-1251
Phone
(606) 282-3503
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Aimee Lee Davis, MS OTR/L CIMCNPI 1841790243
Title
Owner, Occupational Therapist
Phone
(606) 282-3503

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

120 E Reynolds Rd Ste 3
Lexington, KY 40517-1251

Mailing address

600 Carpenter Creek Rd
Parksville, KY 40464-9090

National Provider Directory

National Provider Directory

Locations

120 E Reynolds Rd
Ste 3
Lexington, KY 40517
Phone (606) 282-3503

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1164209607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CARPENTER CREEK RD",
            "city": "PARKSVILLE",
            "state": "KY",
            "postal_code": "404649090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E REYNOLDS RD STE 3",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171251",
            "telephone_number": "606-282-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH AND BALANCE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "606-282-3503",
        "authorized_official_credential": "MS OTR/L CIMC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.