NPIMap

Organization Active NPI

Core4 Therapy Group LLC

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1841673597
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-2592 Issued in KY
Legal business name
CORE4 THERAPY GROUP LLC
Practice address
3280 Blazer Pkwy Ste 101
Lexington, KY 40509-2117
Phone
(859) 225-5424
Fax
(859) 469-8487
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Danielle Grigsby Eckman, MS, CCC/SLPNPI 1982926713
Title
Owner/Partner
Phone
(859) 351-8025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY-2592 KY Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY-1761 KY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY-0126 KY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY-0520 KY

Addresses

Primary practice location

3280 Blazer Pkwy Ste 101
Lexington, KY 40509-2117

Mailing address

3280 Blazer Pkwy Ste 101
Lexington, KY 40509-2117
Phone (859) 225-5424

Other practice location 1

120 Kentucky Ave Ste 120
Lexington, KY 40502-1978
Phone (859) 225-5424

National Provider Directory

National Provider Directory

Locations

3280 Blazer Pkwy
Ste 101
Lexington, KY 40509
Phone (859) 225-5424

120 Kentucky Ave
Ste 120
Lexington, KY 40502
Phone (859) 225-5424

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1841673597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 BLAZER PKWY STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092117",
            "telephone_number": "859-225-5424",
            "fax_number": "859-469-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 BLAZER PKWY STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092117",
            "telephone_number": "859-225-5424",
            "fax_number": "859-469-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Kentucky Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405021978",
            "country_code": "US",
            "telephone_number": "859-225-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE4 THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-09-06",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ECKMAN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "GRIGSBY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "859-351-8025",
        "authorized_official_credential": "MS, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2592",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-1761",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-0126",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-0520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.