NPIMap

Organization Active NPI

Lumina of Campbellsville

  • Occupational Therapist
  • Campbellsville, KY
National Provider Identifier
1972536084
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R2779 Issued in KY
Legal business name
LUMINA OF CAMPBELLSVILLE
Practice address
2020 Hodgenville Rd
Campbellsville, KY 42718-8466
Phone
(270) 849-2312
Fax
(270) 849-2406
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dana Deyoung
Title
Director of Billing
Phone
(502) 245-0767

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 002216 KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X R1581 KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X R2779 KY Primary

Addresses

Primary practice location

2020 Hodgenville Rd
Campbellsville, KY 42718-8466

Mailing address

2020 Hodgenville Rd
Campbellsville, KY 42718-8466
Phone (270) 849-2312

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Homes SVC Ky5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2020 Old Hodgenville Rd
Campbellsville, KY 42718
Phone (270) 849-2312

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972536084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HODGENVILLE RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188466",
            "telephone_number": "270-849-2312",
            "fax_number": "270-849-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HODGENVILLE RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188466",
            "telephone_number": "270-849-2312",
            "fax_number": "270-849-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA OF CAMPBELLSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "502-245-0767"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002216",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R1581",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.