NPIMap

Organization Active NPI

Marshall Pediatric Therapy, LLC

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1992134894
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R3083 Issued in KY
Legal business name
MARSHALL PEDIATRIC THERAPY, LLC
Practice address
2200 Regency Rd
Lexington, KY 40503-2302
Phone
(859) 224-2273
Fax
(859) 224-4675
NPI assigned
Nov 1, 2013
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Pam Marshall, OTR/L
Title
Owner
Phone
(859) 224-2273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X R3083 KY Primary
Speech-Language Pathologist 235Z00000X 4077 KY

Addresses

Primary practice location

2200 Regency Rd
Lexington, KY 40503-2302

Mailing address

105 Wind Haven Dr Ste 1
Nicholasville, KY 40356-8005
Phone (859) 224-2273

National Provider Directory

National Provider Directory
Tax ID family
Marshall Pediatric Therapy LLC5 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

2200 Regency Rd
Lexington, KY 40503
Phone (859) 224-0799

105 Wind Haven Dr
Ste 1
Nicholasville, KY 40356

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1992134894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WIND HAVEN DR STE 1",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568005",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 REGENCY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032302",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-224-2273",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3083",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "4077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.