Organization Active NPI

Interactive Therapy Services

  • Early Intervention Provider Agency
  • Ashland, KY
National Provider Identifier
1265932123
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
INTERACTIVE THERAPY SERVICES
Practice address
2801 Adams St
Ashland, KY 41102-6007
Phone
(606) 465-9754
NPI assigned
Feb 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Jennifer C Vice, M.S. CCC-SLP
Title
Co-Owner
Phone
(606) 465-9754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

2801 Adams St
Ashland, KY 41102-6007

Mailing address

2801 Adams St
Ashland, KY 41102-6007
Phone (606) 465-9754

National Provider Directory

National Provider Directory

Locations

1100 Our Ladys Way
Ste 228
Ashland, KY 41101
Phone (740) 200-0742

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1265932123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ADAMS ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411026007",
            "telephone_number": "606-465-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ADAMS ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411026007",
            "telephone_number": "606-465-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "VICE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-465-9754",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.