Active NPI
Pioneer Health Group LLC
- Occupational Therapist
- Louisa, KY
National Provider Identifier
1366123705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PIONEER HEALTH GROUP LLC
- Practice address
- 125 S Main Cross St
Louisa, KY 41230-1065 - Phone
- (606) 638-0938
- NPI assigned
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timmy Robinson
- Title
- Ceo
- Phone
- (606) 638-0938
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X |
Addresses
Primary practice location
125 S Main Cross St
Louisa, KY 41230-1065
Mailing address
PO Box 726
Louisa, KY 41230-0726
Phone (606) 638-0938
Other practice location 1
332 River Bend Rd
Louisa, KY 41230-1407
Phone (606) 638-0938
National Provider Directory
National Provider Directory- Tax ID family
- Beth'S Blessing
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction Medicine (Family Medicine) Physician
- Louisa, KY
- NPI 1023691599
-
- Addiction Medicine (Family Medicine) Physician
- Louisa, KY
- NPI 1235585126
-
- Clinical Medical Laboratory
- Louisa, KY
- NPI 1689412827
-
- Behavior Analyst
- Louisa, KY
- NPI 1780455774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1366123705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "LOUISA",
"state": "KY",
"postal_code": "412300726",
"telephone_number": "606-638-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S MAIN CROSS ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301065",
"telephone_number": "606-638-0938"
}
],
"practiceLocations": [
{
"address_1": "332 River Bend Rd",
"address_purpose": "LOCATION",
"city": "Louisa",
"state": "KY",
"postal_code": "412301407",
"country_code": "US",
"telephone_number": "606-638-0938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PIONEER HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "TIMMY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "606-638-0938"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.