Organization Active NPI

Innovations Therapeutic Services of Kentucky, LLC

  • Occupational Medicine Clinic/Center
  • Louisville, KY
National Provider Identifier
1679359657
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
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

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Alyssa B Schultz, COTA/LNPI 1366202392
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.