Healthcare Provider Details

I. General information

NPI: 1871414227
Provider Name (Legal Business Name): LITTLE LEAPS THERAPY CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 TYGARTS BND
SOUTH SHORE KY
41175-9063
US

IV. Provider business mailing address

413 TYGARTS BND
SOUTH SHORE KY
41175-9063
US

V. Phone/Fax

Practice location:
  • Phone: 606-694-7013
  • Fax:
Mailing address:
  • Phone: 606-694-7013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: SOPHIA SCHNEIDER
Title or Position: OWNER, OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 606-694-7013