Organization Active NPI

Louisville Pediatric Therapy Center, Inc.

  • Clinic/Center
  • Louisville, KY
National Provider Identifier
1699112623
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
100501 Issued in KY
Legal business name
LOUISVILLE PEDIATRIC THERAPY CENTER, INC.
Practice address
9810 Bluegrass Pkwy
Louisville, KY 40299-1906
Phone
(502) 584-9781
Fax
(502) 589-2409
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Ms. Lauren Smith
Title
Director of Operations
Phone
(502) 584-9781

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 100501 KY
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 100501 KY
Clinic/Center 261Q00000X 100501 KY Primary

Addresses

Primary practice location

9810 Bluegrass Pkwy
Louisville, KY 40299-1906

Mailing address

9810 Bluegrass Pkwy
Louisville, KY 40299-1906
Phone (502) 584-9781

National Provider Directory

National Provider Directory

Locations

9810 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 473-7219

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1699112623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991906",
            "telephone_number": "502-584-9781",
            "fax_number": "502-589-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991906",
            "telephone_number": "502-584-9781",
            "fax_number": "502-589-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE PEDIATRIC THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "502-584-9781",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "100501",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "100501",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "100501",
            "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 Apr 23, 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.