CHILDREN'S THERAPY CENTER, PSC (NPI# 1003849639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003849639 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S THERAPY CENTER, PSC |
| Practice Address |
13010 Eastgate Park Way Ste 101 Louisville KY 40223-3984 |
| Practice Telephone | 5022441210 |
| Practice Fax Number | 5024736798 |
| Mailing Telephone | 5022441210 |
| Mailing Fax Number | 5024736798 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | MRS. MELISSA HOUGH (PRESIDENT) |
| Authorized Official Telephone | 5022674478 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | PT-004789 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 4307 | KY | Speech, Language and Hearing Service Providers |
| Y | 225X00000X | Occupational Therapist | R1137 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11802 Brinley Ave, Suite 100, Louisville, KY 402431089 | 5022441210 | 5022441214 |
| Street Address |
13010 EASTGATE PARK WAY STE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151092 | Savannah Alexis Maxwell | Occupational Therapist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2020-07-20 |
| 1811545817 | Lynda Mccall White | Speech-Language Pathologist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2019-09-03 |
| 1376196915 | Carrie Ann Brangers | Occupational Therapist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2019-07-23 |
| 1285292854 | Elizabeth Hoskins | Occupational Therapist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2019-05-30 |
| 1245897099 | Kaylee Brandt | Speech-Language Pathologist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2019-05-28 |
| 1891277554 | Kara Janella Garcia | Speech-Language Pathologist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2018-08-29 |
| 1154834463 | Stacey M Neat | Occupational Therapist | 13010 Eastgate Park Way Ste 101, Louisville, KY 40223-3984 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1023624061 | Danette Moran | Occupational Therapist | 10503 Vista Hills Blvd, Louisville, KY 40291-4940 | 2020-09-16 |
| 1720699929 | Bridget Virginia Carrithers | Occupational Therapist | 13510 Terrace Creek Dr Apt 201, Louisville, KY 40245-5842 | 2020-08-11 |
| 1346850096 | Annie White | Occupational Therapist | 1627 Nightingale Rd, Louisville, KY 40213-1007 | 2020-08-07 |
| 1336758333 | Kristin Sha Bowen | Occupational Therapist | 11610 Apex View Dr Apt 202, Louisville, KY 40229-8308 | 2020-07-26 |
| 1356967301 | Sarah Camille Moseley | Occupational Therapist | 1924 Roanoke Ave, Louisville, KY 40205-1416 | 2020-06-24 |
| 1639701261 | Dustin Hayden | Occupational Therapist | 6005 Highplace Dr, Louisville, KY 40291-2264 | 2020-02-11 |
| 1467082792 | Megan Holderman | Occupational Therapist | 1236 Hull St, Louisville, KY 40204-1116 | 2020-01-26 |
| 1982242731 | Morgan Hudgens | Occupational Therapist | 1005 Willow Springs Dr, Louisville, KY 40242-7943 | 2019-12-11 |
| 1164067708 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 1917 Blankenbaker Pkwy, Louisville, KY 40299-2403 | 2019-11-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on CHILDREN'S THERAPY CENTER, PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.