Louisville Pediatric Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LOUISVILLE PEDIATRIC THERAPY SERVICES

Practice address

14007 Hickory Ridge Rd
Louisville, KY 40245-5176

Phone

(502) 777-2965

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Michelle McNally WilderNPI 1639113376

Title

President

Phone

(502) 777-2965

Specialties & licenses 1

Addresses

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.

• Michelle Wilder, PT

  • Physical Therapist
  • Louisville, KY
  • NPI 1639113376
  NPD (past) Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1720245913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43372",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530372",
            "telephone_number": "502-777-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14007 HICKORY RIDGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455176",
            "telephone_number": "502-777-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MCNALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-777-2965"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisville Palliative Care LLC
• Louisville Pathology Associates PSC
• Louisville Patient Centered Medical Home, PSC
• Louisville Pediatric Specialists,PSC
• Louisville Pediatric Therapy Center, Inc.
• Louisville Physical Medicine PLLC
• Louisville Physical Therapy PSC (Louisville Physical Therapy)
• Louisville Plastic Surgery Consultants LLC
• Louisville Plastic Surgery Consultants, LLC
• Louisville PM&R PLLC

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.