Organization Active NPI

Kentuckiana Therapy Services, LLC

  • Speech-Language Pathologist
  • Prospect, KY
National Provider Identifier
1639299159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1572 Issued in KY
Legal business name
KENTUCKIANA THERAPY SERVICES, LLC
Practice address
5827 Waveland Cir
Prospect, KY 40059-8698
Phone
(502) 599-8419
Fax
(502) 339-6309
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tina Tembeleska Renee Tembeleska, M.S., CCC-SLP
Title
President
Phone
(502) 599-8419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1572 KY Primary

Addresses

Primary practice location

5827 Waveland Cir
Prospect, KY 40059-8698

Mailing address

5827 Waveland Cir
Prospect, KY 40059-8698
Phone (502) 599-8419

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639299159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 WAVELAND CIR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598698",
            "telephone_number": "502-599-8419",
            "fax_number": "502-339-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 WAVELAND CIR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598698",
            "telephone_number": "502-599-8419",
            "fax_number": "502-339-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEMBELESKA",
        "authorized_official_first_name": "TINA TEMBELESKA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-599-8419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.