Active NPI
Innovations Therapeutic Services of Kentucky, LLC
- Occupational Medicine Clinic/Center
- Louisville, KY
National Provider Identifier
1679359657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- INNOVATIONS THERAPEUTIC SERVICES OF KENTUCKY, LLC
- Practice address
- 2112 Meadows Edge LN
Louisville, KY 40245-4734 - Phone
- (502) 235-0604
- NPI assigned
- Sep 5, 2023
- 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
- Alyssa B Schultz, COTA/L
- Title
- Owner & Ceo
- Phone
- (502) 235-0604
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2112 Meadows Edge LN
Louisville, KY 40245-4734
Mailing address
2112 Meadows Edge LN
Louisville, KY 40245-4734
Phone (502) 235-0604
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- Louisville, KY
- NPI 1366202392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1679359657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 MEADOWS EDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454734",
"telephone_number": "502-235-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 MEADOWS EDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454734",
"telephone_number": "502-235-0604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIONS THERAPEUTIC SERVICES OF KENTUCKY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "ALYSSA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER & CEO",
"authorized_official_telephone_number": "502-235-0604",
"authorized_official_credential": "COTA/L"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.