Organization Active NPI

Visionary Therapy Center, LLC

  • Physical Therapist
  • Jackson, KY
National Provider Identifier
1952875387
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VISIONARY THERAPY CENTER, LLC
Practice address
100 Ky Hwy 15 South
Suite 136
Jackson, KY 40475
Phone
(859) 229-4151
NPI assigned
Jan 18, 2019
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Mr. Byron Scott Johnston, CCC-SLPNPI 1295102622
Title
President
Phone
(859) 229-4151

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

100 Ky Hwy 15 South
Suite 136
Jackson, KY 40475

Mailing address

100 Ky Hwy 15 South
Suite 136
Jackson, KY 40475
Phone (859) 229-4151

National Provider Directory

National Provider Directory

Locations

30 Campbell Cir
Jackson, KY 41339
Phone (606) 824-5115

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1952875387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KY HWY 15 SOUTH",
            "address_2": "SUITE 136",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-229-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KY HWY 15 SOUTH",
            "address_2": "SUITE 136",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-229-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-229-4151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.