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
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1760748453
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	:	502-805-1511

Provider Business Practice Location Address
First Line	:	1707 CEDAR GROVE RD STE 17
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8572
Country	:	US
Telephone Number	:	502-633-1007
Fax Number	:	502-805-1511

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

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	05/03/2018

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Directions to “ASSOCIATES IN PEDIATRIC THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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