NPIMap

Organization Active NPI

Kiper Developmental Therapy

  • Early Intervention Provider Agency
  • Owensboro, KY
National Provider Identifier
1174071310
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
201112352 Issued in KY
Legal business name
KIPER DEVELOPMENTAL THERAPY
Practice address
215 Wildwood Dr
Owensboro, KY 42303-6147
Phone
(812) 430-3122
Fax
(270) 640-0188
NPI assigned
Sep 16, 2016
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Holly Marx KiperNPI 1659824613
Title
Developmental Interventionist
Phone
(812) 430-3122

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
Early Intervention Provider Agency 252Y00000X NU
Early Intervention Provider Agency 252Y00000X 201112352 KY Primary

Addresses

Primary practice location

215 Wildwood Dr
Owensboro, KY 42303-6147

Mailing address

215 Wildwood Dr
Owensboro, KY 42303-6147
Phone (812) 430-3122

National Provider Directory

National Provider Directory

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1174071310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WILDWOOD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036147",
            "telephone_number": "812-430-3122",
            "fax_number": "270-640-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WILDWOOD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036147",
            "telephone_number": "812-430-3122",
            "fax_number": "270-640-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPER DEVELOPMENTAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "KIPER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MARX",
        "authorized_official_title_or_position": "DEVELOPMENTAL INTERVENTIONIST",
        "authorized_official_telephone_number": "812-430-3122"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "201112352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.