Active NPI
Associates in Pediatric Therapy, LLC
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1962748111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ASSOCIATES IN PEDIATRIC THERAPY, LLC
- Practice address
- 7140 Preston Hwy
Louisville, KY 40219-2722 - Phone
- (502) 633-1007
- Fax
- (502) 805-1511
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne M Burnett
- Title
- Office Manager
- Phone
- (502) 633-1007
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
7140 Preston Hwy
Louisville, KY 40219-2722
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Outpatient physical therapy / speech pathology certification: CCN 186673
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ASSOCIATES IN PEDIATRIC THERAPY
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Oct 23, 2013
- Last certification
- Oct 23, 2013
- Ownership / control type
- Proprietary
- Facility address
- 7140 Preston Highway
Louisville, KY 40219
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1962748111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138",
"telephone_number": "502-633-1007",
"fax_number": "502-805-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 PRESTON HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402192722",
"telephone_number": "502-633-1007",
"fax_number": "502-805-1511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN PEDIATRIC THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "BURNETT",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "502-633-1007"
},
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.