Active NPI
The Kids Spot Center
- Occupational Therapy Assistant
- Campbellsville, KY
National Provider Identifier
1194132266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A5951
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A5951 | Other | KY | LICENSE NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- The Kid Spot Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Campbellsville, KY
- NPI 1104146109
-
- Speech-Language Pathologist
- Campbellsville, KY
- NPI 1558741884
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.