Healthcare Provider Details

I. General information

NPI: 1013462985
Provider Name (Legal Business Name): ASSOCIATES IN PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 08/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 PAOLI PIKE SUITE 5
FLOYDS KNOBS IN
47119-9787
US

IV. Provider business mailing address

1900 MIDLAND TRL
SHELBYVILLE KY
40065-8141
US

V. Phone/Fax

Practice location:
  • Phone: 502-633-1007
  • Fax: 502-437-0624
Mailing address:
  • Phone: 502-633-1007
  • Fax: 502-437-0624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SCOTT SAGESER
Title or Position: CFO
Credential:
Phone: 502-633-1007