NPIMap

Organization Active NPI

Associates in Pediatric Therapy, LLC

Doing business as Associates in Pediatric Therapy

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1518223296
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ASSOCIATES IN PEDIATRIC THERAPY, LLC
Doing business as
Associates in Pediatric Therapy
Practice address
2531 Blankenbaker Pkwy
Louisville, KY 40299-2465
Phone
(502) 633-1007
Fax
(502) 437-0624
NPI assigned
Apr 6, 2012
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Jeanne Burnett
Title
Office Manager
Phone
(502) 633-1007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X KY Primary

Addresses

Primary practice location

2531 Blankenbaker Pkwy
Louisville, KY 40299-2465

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007

Other names 1

  • Associates in Pediatric Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000425 KY Part B Supplier - Clinic/Group Practice 5193887321 Receives reassigned benefits from 6 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shelbyville, KY; Shepherdsville, KY; Louisville, LA; Louisville, KY; Lexington, KY; Crestwood, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518223296. Details of each certification follow.

  • CCN 186670 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 186670

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ASSOCIATES IN PEDIATRIC THERAPY, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 20, 2013
Last certification
May 20, 2013
Ownership / control type
Proprietary
Facility address
2531 Blankenbaker Parkway
Louisville, KY 40299

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2531 Blankenbaker Pkwy
Louisville, KY 40299
Phone 5026331007400

Practitioners & affiliated clinicians

Practitioners 1

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": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1518223296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007",
            "fax_number": "502-805-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 BLANKENBAKER PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992465",
            "telephone_number": "502-633-1007",
            "fax_number": "502-437-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-633-1007"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.