NPIMap

Organization Active NPI

Wallace Therapy Inc

  • Early Intervention Provider Agency
  • Louisville, KY
National Provider Identifier
1285896860
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WALLACE THERAPY INC
Practice address
9912 Spring Ridge Dr
Louisville, KY 40223-2877
Phone
(502) 442-4005
Fax
(502) 742-4469
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Sherrell K Bailey, MS CCC/SLPNPI 1255522777
Title
President
Phone
(502) 442-4005

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 KY Primary

Addresses

Primary practice location

9912 Spring Ridge Dr
Louisville, KY 40223-2877

Mailing address

9912 Spring Ridge Dr
Louisville, KY 40223-2877
Phone (502) 442-4005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1285896860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 SPRING RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232877",
            "telephone_number": "502-442-4005",
            "fax_number": "502-742-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 SPRING RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232877",
            "telephone_number": "502-442-4005",
            "fax_number": "502-742-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHERRELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-442-4005",
        "authorized_official_credential": "MS CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "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 Jun 25, 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.