NPIMap

Organization Active NPI

Mathis Therapy and Sensory Learning Center, PSC

  • Speech-Language Pathologist
  • Henderson, KY
National Provider Identifier
1649495557
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY0401 Issued in KY
Legal business name
MATHIS THERAPY AND SENSORY LEARNING CENTER, PSC
Practice address
2003 Stapp Dr.
Suite C
Henderson, KY 42420-2663
Phone
(270) 827-4857
Fax
(270) 827-9773
NPI assigned
Apr 16, 2007
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Mrs. Kathy C Mathis, CCC-SLPNPI 1508995739
Title
Speech/Language Pathologist
Phone
(270) 827-4857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
Speech-Language Pathologist 235Z00000X 22001840A IN
Speech-Language Pathologist 235Z00000X KY0401 KY Primary

Addresses

Primary practice location

2003 Stapp Dr.
Suite C
Henderson, KY 42420-2663

Mailing address

2003 Stapp Dr.
Suite C
Henderson, KY 42420-2663
Phone (270) 827-4857

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1649495557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 STAPP DR.",
            "address_2": "SUITE C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202663",
            "telephone_number": "270-827-4857",
            "fax_number": "270-827-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 STAPP DR.",
            "address_2": "SUITE C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202663",
            "telephone_number": "270-827-4857",
            "fax_number": "270-827-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHIS THERAPY AND SENSORY LEARNING CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "270-827-4857",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001840A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY0401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.