NPIMap

Organization Active NPI

Speechco Therapy Services

  • Multi-Specialty Clinic/Center
  • Mt Washington, KY
National Provider Identifier
1386995520
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SPEECHCO THERAPY SERVICES
Practice address
1123 N Bardstown Rd
Suite #2
Mt Washington, KY 40047-7843
Phone
(502) 538-6333
Fax
(502) 538-6334
NPI assigned
Sep 27, 2012
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Michael Boyer
Title
Credentialing Manager
Phone
(502) 538-6333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

1123 N Bardstown Rd
Suite #2
Mt Washington, KY 40047-7843

Mailing address

PO Box 91286
Louisville, KY 40291-0286
Phone (502) 538-6333

Other practice location 1

663 N Dixie Blvd Ste F
Radcliff, KY 40160-1376
Phone (270) 390-4042

National Provider Directory

National Provider Directory

Locations

1123 N Bardstown Rd
Unit 2
Mt Washington, KY 40047
Phone (502) 472-1194

663 N Dixie Blvd
Ste F
Radcliff, KY 40160
Phone (270) 390-4042

Practitioners & affiliated clinicians

Practitioners 5

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1386995520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91286",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402910286",
            "telephone_number": "502-538-6333",
            "fax_number": "502-538-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N BARDSTOWN RD",
            "address_2": "SUITE #2",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477843",
            "telephone_number": "502-538-6333",
            "fax_number": "502-538-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 N Dixie Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401601376",
            "country_code": "US",
            "telephone_number": "270-390-4042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECHCO THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-538-6333"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.