Making Waves Pediatric Therapy Service

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

MAKING WAVES PEDIATRIC THERAPY SERVICE

Practice address

4103 Bolling Brook Drive
Louisville, KY 40299

Phone

(859) 492-7257

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Melody Prinkleton, PTNPI 1194870857

Title

Owner/Organizer

Phone

(859) 492-7257

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melody Prinkleton, PT, DPT

  • Pediatric Physical Therapist
  • Louisville, KY
  • NPI 1194870857

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1306698535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BOLLING BROOK DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "859-492-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BOLLING BROOK DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "859-492-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING WAVES PEDIATRIC THERAPY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "PRINKLETON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OWNER/ORGANIZER",
        "authorized_official_telephone_number": "859-492-7257",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon E Major, OTR/L
• Ramsey Kevin Majzoub, MD
• Ellen Marie Makatche, APRN
• Sharmila Makhija, MD
• Alexandra Maki, M.D.
• Cheryl Lynnette Makk, ARNP
• Laszlo J. Makk, MD
• Stephen P Makk, M.D.
• Cathy A Malchiodi
• Daniel Russ Malcom, PHARM.D.

• Pediatric Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.