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NPI Code Detail

MEDICARE: PROFESSIONAL EVALUATION AND DEVELOPMENTAL SERVICES

MEDICARE: PROFESSIONAL EVALUATION AND DEVELOPMENTAL SERVICES
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 TherapistPT-001051KY
2225X00000XOccupational TherapistKY-R2746KY
3235Z00000XSpeech-Language Pathologist3098KY

General Provider Information

NPI Number : 1760500508
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL EVALUATION AND DEVELOPMENTAL SERVICES
Provider Business Mailing Address
First Line : PO BOX 9131
Second Line :
City : LOUISVILLE
State : KY
Zip : 40209-0131
Country : US
Telephone Number : 502-327-0045
Fax Number : 502-327-0019
Provider Business Practice Location Address
First Line : 918 ORMSBY LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40242-4536
Country : US
Telephone Number : 502-327-0045
Fax Number : 502-327-0019
Authorized Official
Title or Position : OWNER
Name : JOAN ELLEN SCHNEIDER
Credential : PT
Telephone Number : 502-327-0045
Provider Enumeration Date : 03/27/2007
Last Update Date : 09/11/2025

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Directions to “PROFESSIONAL EVALUATION AND DEVELOPMENTAL SERVICES ” Practice Location

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