Organization Active NPI

Child Developmental Therapy, Inc.

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1174841779
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILD DEVELOPMENTAL THERAPY, INC.
Practice address
5806 Maryman Rd
Louisville, KY 40258-2002
Phone
(502) 592-9936
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Ms. Myra Bruton Taylor, MS
Title
Speech/Language Pathologist
Phone
(502) 592-9936

Specialties & licenses 1

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

Addresses

Primary practice location

5806 Maryman Rd
Louisville, KY 40258-2002

Mailing address

5806 Maryman Rd
Louisville, KY 40258-2002
Phone (502) 592-9936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1174841779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 MARYMAN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582002",
            "telephone_number": "502-592-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 MARYMAN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582002",
            "telephone_number": "502-592-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENTAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "BRUTON",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "502-592-9936",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.