NPIMap

Organization Active NPI

Blanford Pediatric Therapy LLC

Doing business as Partners in Pediatric Therapy

  • Pediatric Occupational Therapist
  • Bardstown, KY
National Provider Identifier
1508222340
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
135224 Issued in KY
Legal business name
BLANFORD PEDIATRIC THERAPY LLC
Doing business as
Partners in Pediatric Therapy
Practice address
704 Bloomfield Rd
Bardstown, KY 40004-2025
Phone
(502) 331-5478
Fax
(502) 348-9825
NPI assigned
Jan 9, 2016
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Mr. Lance Patrick Blanford, M.ED.NPI 1750747804
Title
Owner
Phone
(859) 797-8223

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KY
Pediatric Occupational Therapist 225XP0200X 135224 KY Primary
Speech-Language Pathologist 235Z00000X 140780 KY
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

704 Bloomfield Rd
Bardstown, KY 40004-2025

Mailing address

704 Bloomfield Rd
Bardstown, KY 40004-2025
Phone (859) 797-8223

Other identifiers 4

IdentifierTypeStateIssuer
7100424590MedicaidKY
7100387750MedicaidKY
7100415400MedicaidKY
50115322OtherKYPASSPORT HEALTH

Other names 1

  • Partners in Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blanford Pediatric Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1452297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1508222340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042025",
            "telephone_number": "859-797-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042025",
            "telephone_number": "502-331-5478",
            "fax_number": "502-348-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANFORD PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-09",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "BLANFORD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-797-8223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "135224",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140780",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100424590",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100387750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100415400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "50115322",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners in Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.