Organization Active NPI

Bluegrass Pediatric Therapies, LLC

  • Speech-Language Pathologist
  • Richmond, KY
National Provider Identifier
1922568567
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLUEGRASS PEDIATRIC THERAPIES, LLC
Practice address
2150 Lexington Rd Ste a
Richmond, KY 40475-7924
Phone
(859) 661-9807
NPI assigned
Mar 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Whitney Rae HallNPI 1699125971
Title
Owner/Operator/Speech Therapist
Phone
(859) 661-9807

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2150 Lexington Rd Ste a
Richmond, KY 40475-7924

Mailing address

2150 Lexington Rd Ste a
Richmond, KY 40475-7924
Phone (859) 661-9807

Other practice location 1

505 Shoppers Dr Ste C
Winchester, KY 40391-2808
Phone (859) 353-5445

National Provider Directory

National Provider Directory

Locations

2150 Lexington Rd
Ste A
Richmond, KY 40475
Phone (859) 353-5445

1010 Brandy Ln
Ste B
Richmond, KY 40475
Phone (850) 353-5445

505 Shoppers Dr
Ste C
Winchester, KY 40391
Phone (859) 353-5445

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1922568567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "859-661-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "859-661-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Shoppers Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403912808",
            "country_code": "US",
            "telephone_number": "859-353-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEGRASS PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/OPERATOR/SPEECH THERAPIST",
        "authorized_official_telephone_number": "859-661-9807"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.