Active NPI
Brtql8 Inc
- Speech-Language Pathologist
- Georgetown, KY
National Provider Identifier
1598034951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BRTQL8 INC
- Practice address
- 105 Windsor Path
Suite 3
Georgetown, KY 40324-9617 - Phone
- (859) 588-3709
- Fax
- (502) 603-0622
- NPI assigned
- Dec 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan C Thomas, SLP
- Title
- President
- Phone
- (859) 588-3709
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
105 Windsor Path
Suite 3
Georgetown, KY 40324-9617
Mailing address
105 Windsor Path
Suite 3
Georgetown, KY 40324-9617
Phone (859) 588-3709
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000745303 | Other | KY | ANTHEM |
| 50071614 | Other | KY | PASSPORT |
| 7100279260 | Other | KY | EPSDT SPECIAL SERVICES |
| 7100270990 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
105 Windsor Path
Ste 3
Georgetown, KY 40324
Phone (859) 588-3709
103 S Bradford Ln
#101
Georgetown, KY 40324
Phone (502) 867-1980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464048000000",
"number": "1598034951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WINDSOR PATH",
"address_2": "SUITE 3",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249617",
"telephone_number": "859-588-3709",
"fax_number": "502-603-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WINDSOR PATH",
"address_2": "SUITE 3",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249617",
"telephone_number": "859-588-3709",
"fax_number": "502-603-0622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRTQL8 INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-14",
"last_updated": "2016-05-24",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-588-3709",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000745303",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50071614",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT SPECIAL SERVICES",
"identifier": "7100279260",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100270990",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.