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NPI Code Detail

MEDICARE: ASSOCIATES IN PEDIATRIC THERAPY LLC

MEDICARE: ASSOCIATES IN PEDIATRIC THERAPY LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1942780358
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATES IN PEDIATRIC THERAPY LLC
Provider Business Mailing Address
First Line : 90 HOWARD DR
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-8138
Country : US
Telephone Number : 502-633-1007
Fax Number : 502-437-0624
Provider Business Practice Location Address
First Line : 5501 NEW CUT RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-4329
Country : US
Telephone Number : 502-633-1007
Fax Number : 502-437-0624
Authorized Official
Title or Position : OWNER
Name : ANGELA SAGESER
Credential :
Telephone Number : 502-633-1007
Provider Enumeration Date : 08/15/2018
Last Update Date : 08/15/2018

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Directions to “ASSOCIATES IN PEDIATRIC THERAPY LLC ” Practice Location

Language Start Address Practice Location
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