NPIMap

Organization Active NPI

Pediatric Therapy Associates

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1407976327
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22001261A Issued in IN
Legal business name
PEDIATRIC THERAPY ASSOCIATES
Practice address
2001 Long Knife CT
Louisville, KY 40207-1176
Phone
(502) 797-1371
Fax
(502) 721-6132
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mrs. Mary B Gorin, CCC, SLPNPI 1154595809
Title
Owner
Phone
(502) 797-1371

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 22001261A IN Primary

Addresses

Primary practice location

2001 Long Knife CT
Louisville, KY 40207-1176

Mailing address

2001 Long Knife CT
Louisville, KY 40207-1176
Phone (502) 797-1371

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1407976327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LONG KNIFE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071176",
            "telephone_number": "502-797-1371",
            "fax_number": "502-721-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LONG KNIFE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071176",
            "telephone_number": "502-797-1371",
            "fax_number": "502-721-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GORIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-797-1371",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001261A",
            "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 20, 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.