Traci Purvis Dba Therapy Builders

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

KY-R2744 Issued in KY

Legal business name

TRACI PURVIS DBA THERAPY BUILDERS

Practice address

4211 Sherman Ave
Louisville, KY 40213-1846

Phone

(502) 302-9024

Fax

(502) 470-7318

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

Traci Lynn Purvis, OTR/L

Title

Occupational Therapist

Phone

(502) 302-9024

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1841642675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 SHERMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131846",
            "telephone_number": "502-302-9024",
            "fax_number": "502-470-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 SHERMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131846",
            "telephone_number": "502-302-9024",
            "fax_number": "502-470-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI PURVIS DBA THERAPY BUILDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "502-302-9024",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "KY-R2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS CABINET FOR HEALTH AND FAMILY SERVICES PROVIDER NUMBER",
            "identifier": "1362",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY",
            "identifier": "KY-R2744",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12084937",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134324114",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nathan Tragesser, DMD
• Kim-Uyen Tran-the, PHARMD

• Early Intervention Provider Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.