Organization Active NPI

Bluegrass Therapy Services, LLC

  • Early Intervention Provider Agency
  • Louisville, KY
National Provider Identifier
1255508701
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BLUEGRASS THERAPY SERVICES, LLC
Practice address
308 Willow Stone Way
Louisville, KY 40223-2645
Phone
(502) 797-4168
Fax
(502) 618-1757
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mrs. Melissa Jane Granger, MA CCC-SLPNPI 1912167123
Title
Speech-Language Pathologist
Phone
(502) 797-4168

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

308 Willow Stone Way
Louisville, KY 40223-2645

Mailing address

308 Willow Stone Way
Louisville, KY 40223-2645
Phone (502) 797-4168

National Provider Directory

National Provider Directory
Tax ID family
Bluegrass Therapy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1255508701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILLOW STONE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232645",
            "telephone_number": "502-797-4168",
            "fax_number": "502-618-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW STONE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232645",
            "telephone_number": "502-797-4168",
            "fax_number": "502-618-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "502-797-4168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA  CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "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 14, 2008; 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.