NPIMap

Organization Active NPI

Bluegrass Therapy Services LLC

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1811033848
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLUEGRASS THERAPY SERVICES LLC
Practice address
308 Willow Stone Way
Louisville, KY 40223-2645
Phone
(502) 797-4168
Fax
(502) 618-1757
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Melissa Jane Granger, MA CCC-SLPNPI 1912167123
Title
Speech Pathologist
Phone
(502) 797-4168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Bluegrass Therapy Services LLC (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

308 Willow Stone Way
Louisville, KY 40223-2645

Mailing address

308 Willow Stone Way
Louisville, KY 40223-2645
Phone (502) 797-4168

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2012.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1811033848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILLOW STONE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232645",
            "telephone_number": "502-797-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW STONE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232645",
            "telephone_number": "502-797-4168",
            "fax_number": "502-618-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "502-797-4168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 2, 2012; 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.