Organization Active NPI

Brtql8 Inc

  • Speech-Language Pathologist
  • Georgetown, KY
National Provider Identifier
1598034951
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on May 24, 2016

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000745303OtherKYANTHEM
50071614OtherKYPASSPORT
7100279260OtherKYEPSDT SPECIAL SERVICES
7100270990MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.