Smith Pediatric Rehab, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2115 Issued in KY

Legal business name

SMITH PEDIATRIC REHAB, LLC

Practice address

137 Whitman Rd
Munfordville, KY 42765-8228

Phone

(270) 202-1825

Fax

(270) 524-1269

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Lessa Smith Croley, MSCCCSLP

Title

Speech Language Pathologist/Owner

Phone

(270) 202-1825

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.

• Melessa Smith Croley, MS CCC-SLP

  • Speech-Language Pathologist
  • Munfordville, KY
  • NPI 1154454676
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1871812966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WHITMAN RD",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427658228",
            "telephone_number": "270-202-1825",
            "fax_number": "270-524-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 WHITMAN RD",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427658228",
            "telephone_number": "270-202-1825",
            "fax_number": "270-524-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PEDIATRIC REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "CROLEY",
        "authorized_official_first_name": "LESSA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "270-202-1825",
        "authorized_official_credential": "MSCCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Roten
• Tiffany Myers Saltsman, APRN
• Wanda Sexton, LPCC
• Mary Brooke Shaw, MS CCC SLP
• Shawn Allen Thompson
• Jason R. Smith, D.M.D
• Rebecca Anne Smith, M.S. SLP
• Rebecca Danielle Spaulding, TARGETED CASE MANAGE
• Benjamin Stevens, LPCC
• Skylar Stockton-Gossett

• Speech-Language Pathologist in Munfordville, KY
• Providers in Munfordville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.