Individual provider Active NPI

John P Pace II, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Owensboro, KY
National Provider Identifier
1215364328
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4180 Issued in KY
Practice address
4755 Sydney LN
Apt D
Owensboro, KY 42301-9677
Phone
(270) 685-4008
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4180 KY Primary

Addresses

Primary practice location

4755 Sydney LN
Apt D
Owensboro, KY 42301-9677

Mailing address

4755 Sydney LN
Apt D
Owensboro, KY 42301-9677
Phone (270) 685-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210416001822 KY Practitioner - Qualified Speech Language Pathologist 8527476282 Reassigns benefits to 1 organization
I20251222000951 IN Practitioner - Qualified Speech Language Pathologist 8527476282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

329 Rainbow Dr
Kokomo, IN 46902-3869
Phone (765) 400-2939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4180KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Dec 12, 2025 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Speech-Language Pathologist CurrentSince Apr 5, 2021 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Apr 5, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Speech-Language Pathologist CurrentSince Dec 12, 2025 Accepting new patients

Locations

101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214

100 Garden Way
Campbellsville, KY 42718
Phone (270) 789-1200

100 Windsor Path
Georgetown, KY 40324
Phone (502) 570-0540

2141 Executive Dr
Lexington, KY 40505
Phone (859) 252-1939

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

9701 Whipps Mill Rd
Louisville, KY 40223
Phone (502) 426-2778

8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977

84 Utterback Rd
Murray, KY 42071
Phone (270) 759-8700

1415 W 1st St
Owensboro, KY 42301
Phone (270) 926-2345

1900 Pleasant Valley Rd
Owensboro, KY 42303

1001 Crossfield Dr
Versailles, KY 40383
Phone (859) 753-2000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1215364328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 SYDNEY LN",
            "address_2": "APT D",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423019677",
            "telephone_number": "270-685-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 SYDNEY LN",
            "address_2": "APT D",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423019677",
            "telephone_number": "270-685-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "4180",
            "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 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.