Individual provider Active NPI

Kelly Altsman, MA, CF-SLP

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1780312157
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
278786 Issued in KY
Practice address
2933 Breckenridge LN Ste 101
Louisville, KY 40220-1494
Phone
(502) 588-0736
NPI assigned
Aug 12, 2022
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 278786 KY Primary

Addresses

Primary practice location

2933 Breckenridge LN Ste 101
Louisville, KY 40220-1494

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010001592 KY Practitioner - Qualified Speech Language Pathologist 5799161006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC Speech-Language Pathologist CurrentSince Aug 8, 2022 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Aug 8, 2022 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations

1405 E Burnett Ave
Louisville, KY 40217
Phone (502) 473-7219

2933 Breckenridge Ln
Ste 101
Louisville, KY 40220
Phone (502) 588-0736

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1780312157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 BRECKENRIDGE LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201494",
            "telephone_number": "502-588-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTSMAN",
        "first_name": "KELLY",
        "credential": "MA, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "278786",
            "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 Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.