NPIMap

Organization Active NPI

Orthodyne, LLC

  • Occupational Therapist
  • Campbellsville, KY
National Provider Identifier
1699198424
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R4686 Issued in KY
Legal business name
ORTHODYNE, LLC
Practice address
190 W. Broadway
Suite 103
Campbellsville, KY 42718-2212
Phone
(270) 789-6629
Fax
(270) 789-0424
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Peter T. Kirsch, M.D.
Title
President
Phone
(270) 789-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X R4686 KY Primary

Addresses

Primary practice location

190 W. Broadway
Suite 103
Campbellsville, KY 42718-2212

Mailing address

PO Box 1430
Frankfort, KY 40602-1430
Phone (502) 226-3858

National Provider Directory

National Provider Directory
Tax ID family
Orthodyne LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1699198424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021430",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W. BROADWAY",
            "address_2": "SUITE 103",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182212",
            "telephone_number": "270-789-6629",
            "fax_number": "270-789-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-789-6629",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R4686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.