Organization Active NPI

Melody Prinkleton

Doing business as Making Waves Pediatric Therapy Services

  • Early Intervention Provider Agency
  • Louisville, KY
National Provider Identifier
1629218771
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
003948 Issued in KY
Legal business name
MELODY PRINKLETON
Doing business as
Making Waves Pediatric Therapy Services
Practice address
4103 Bollling Brook Drive
Louisville, KY 40299
Phone
(502) 212-5103
Fax
(502) 212-5103
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Melody Prinkleton, PT, DPT
Title
Physical Therapist/Owner
Phone
(502) 212-5103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 003948 KY Primary

Addresses

Primary practice location

4103 Bollling Brook Drive
Louisville, KY 40299

Mailing address

PO Box 99977
Louisville, KY 40269-0977
Phone (502) 212-5103

Other names 1

  • Making Waves Pediatric Therapy Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1629218771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99977",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402690977",
            "telephone_number": "502-212-5103",
            "fax_number": "502-749-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BOLLLING BROOK DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "502-212-5103",
            "fax_number": "502-212-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY PRINKLETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "PRINKLETON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "502-212-5103",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "003948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Making Waves Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2009; 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.