Organization Active NPI

The Kids Spot Center

  • Occupational Therapy Assistant
  • Campbellsville, KY
National Provider Identifier
1194132266
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A5951 Issued in KY
Legal business name
THE KIDS SPOT CENTER
Practice address
121 Casey St Ste a
Campbellsville, KY 42718-6858
Phone
(270) 465-7768
Fax
(270) 465-0068
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Mrs. Jennifer Houk, MS, CCC-SLP
Title
Co-Owner
Phone
(270) 465-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X A5951 KY Primary

Addresses

Primary practice location

121 Casey St Ste a
Campbellsville, KY 42718-6858

Mailing address

121 Casey St Ste a
Campbellsville, KY 42718-6858
Phone (270) 465-7768

Other identifiers 1

IdentifierTypeStateIssuer
A5951OtherKYLICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
The Kid Spot Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Casey St
Ste A
Campbellsville, KY 42718
Phone (270) 465-7768

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1194132266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CASEY ST STE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427186858",
            "telephone_number": "270-465-7768",
            "fax_number": "270-465-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CASEY ST STE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427186858",
            "telephone_number": "270-465-7768",
            "fax_number": "270-465-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS SPOT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "HOUK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "270-465-7768",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "A5951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A5951",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.