MEDICARE: NEW BEGINNINGS THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	252Y00000X	Early Intervention Provider Agency
4	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1871820621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	524 MACRANDER DR
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-8311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 MERIDIAN WAY STE 8
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2876
Country	:	US
Telephone Number	:	859-626-2107
Fax Number	:

Authorized Official
Title or Position	:	OWNER & COO
Name	:	KEVIN EVERLEY
Credential	:
Telephone Number	:	859-626-2107

Provider Enumeration Date	:	11/14/2009
Last Update Date	:	12/06/2020

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