NPIMap

Organization Active NPI

Louisville Therapy Group, PLLC

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1639793300
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LOUISVILLE THERAPY GROUP, PLLC
Practice address
2618 Pindell Ave
Louisville, KY 40217-2322
Phone
(502) 501-6789
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Kimberly S Aridano, MSC, CCC-SLPNPI 1124370507
Title
Owner
Phone
(502) 501-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2618 Pindell Ave
Louisville, KY 40217-2322

Mailing address

2618 Pindell Ave
Louisville, KY 40217-2322
Phone (502) 501-6789

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": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1639793300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 PINDELL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402172322",
            "telephone_number": "502-501-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 PINDELL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402172322",
            "telephone_number": "502-501-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE THERAPY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "ARIDANO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-501-6789",
        "authorized_official_credential": "MSC, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 29, 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.