Lymphedema Therapy of Southern Ky LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LYMPHEDEMA THERAPY OF SOUTHERN KY LLC

Practice address

875 Earl Rd
Russellville, KY 42276-7116

Phone

(270) 847-8031

Fax

(270) 743-9592

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lindsey Anne Johnson, OTR/L, CLT, CWTNPI 1962127639

Title

Lymphedema Therapist

Phone

(270) 847-8031

Specialties & licenses 1

Addresses

Other names 1

• LTSK Other name

Practitioners 1

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

• Lindsey Anne Johnson

  • Occupational Therapist
  • Russellville, KY
  • NPI 1962127639
  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1396434841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 EARL RD",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767116",
            "telephone_number": "270-847-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 EARL RD",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767116",
            "telephone_number": "270-847-8031",
            "fax_number": "270-743-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA THERAPY OF SOUTHERN KY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LYMPHEDEMA THERAPIST",
        "authorized_official_telephone_number": "270-847-8031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CLT, CWT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTSK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Logan Orthopaedics
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• Logan Physician Practice LLC
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• Martha E Loomis, MFTA
• Laura Madison
• Joe V Massa, LPA
• David L McClain, ARNP
• Chad Meacham, CRNA
• Jeffrey Meade, LPCC

• Occupational Therapist in Russellville, KY
• Providers in Russellville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.