Active NPI
Melody Prinkleton
Doing business as Making Waves Pediatric Therapy Services
- Early Intervention Provider Agency
- Louisville, KY
National Provider Identifier
1629218771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 003948
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.