Organization Active NPI

Hop Skip and a Jump LLC

  • Pediatric Physical Therapist
  • Georgetown, KY
National Provider Identifier
1912256827
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
HOP SKIP AND A JUMP LLC
Practice address
105 Windsor Path
Suite 1
Georgetown, KY 40324-9617
Phone
(502) 570-2337
Fax
(502) 570-2338
NPI assigned
Sep 6, 2012
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mrs. Ann L Beebe
Title
Otr/L
Phone
(502) 570-2337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X KY Primary
Pediatric Occupational Therapist 225XP0200X NU

Addresses

Primary practice location

105 Windsor Path
Suite 1
Georgetown, KY 40324-9617

Mailing address

105 Windsor Path
Suite 1
Georgetown, KY 40324-9617
Phone (502) 570-2337

Other identifiers 3

IdentifierTypeStateIssuer
7100302990MedicaidKY
000000800679OtherKYANTHEM
7100236820MedicaidKY

National Provider Directory

National Provider Directory

Locations

105 Windsor Path
Ste 1
Georgetown, KY 40324
Phone (502) 570-2337

Practitioners & affiliated clinicians

Practitioners 1

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": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1912256827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WINDSOR PATH",
            "address_2": "SUITE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249617",
            "telephone_number": "502-570-2337",
            "fax_number": "502-570-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WINDSOR PATH",
            "address_2": "SUITE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249617",
            "telephone_number": "502-570-2337",
            "fax_number": "502-570-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOP SKIP AND A JUMP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "502-570-2337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100302990",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000800679",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100236820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.