MEDICARE: ASSOCIATES IN PEDIATRIC THERAPY

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1538594312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN PEDIATRIC THERAPY

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	:	502-805-1511

Provider Business Practice Location Address
First Line	:	1736 ALEXANDRIA DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3160
Country	:	US
Telephone Number	:	859-899-2022
Fax Number	:	502-805-1511

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JEANNE BURNETT
Credential	:
Telephone Number	:	502-633-1007

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	03/07/2017

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Directions to “ASSOCIATES IN PEDIATRIC THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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