PEDIATRIC REHAB (NPI# 1316396815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316396815 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC REHAB |
| Practice Address |
5286 Parkside Dr Paducah KY 42001-7466 |
| Practice Telephone | 2709947751 |
| Mailing Telephone | 2709947751 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MS. LIBBY ANN BOBO (PRESIDENT) |
| Authorized Official Telephone | 2709947751 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 200119099 | KY | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PEDIATRIC REHAB NORTHWEST, LLC | 8814 30th St Ct Nw, Gig Harbor, WA 98335-0000 |
| Colorado Business Entities | Pediatric Rehab Partners, LLC | 9064 S. Miners Place, Highlands Ranch, CO 80126 |
| Washington State Corporations | PEDIATRIC REHABILITATION ASSOCIATES PLLC | 117 E Louisa St Ste 370, Seattle, WA 98102-3203 |
| System for Award Management (SAM) Entities | PEDIATRIC REHABILITATION OF TEXAS, INC. | 3195 Calder St Ste 201, Beaumont, TX 77702-1426 |
| Street Address |
5286 PARKSIDE DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-7466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881812303 | Elizabeth Ann Bobo | Specialist | 5286 Parkside Dr, Paducah, KY 42001-7466 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306155528 | Jennifer D Burnett | Early Intervention Provider Agency | 315 Babbland Dr, Paducah, KY 42003-9449 | 2010-10-05 |
| 1528226875 | First Steps | Early Intervention Provider Agency | 1923 Monroe St, Paducah, KY 42001-7137 | 2008-05-22 |
| 1083065288 | Jessica Richards Speech Therapy | Early Intervention Provider Agency | 126 Atlanta St, Paducah, KY 42003-5508 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394278 | Communication Connections, LLC | Early Intervention Provider Agency | 6754 E Highway 60, Salt Lick, KY 40371-8980 | 2020-07-30 |
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1598318974 | Building Blocks Therapy Clinic | Early Intervention Provider Agency | 724 Harvard Dr, Owensboro, KY 42301-6152 | 2019-07-24 |
| 1063077519 | Amy Beth Canler | Early Intervention Provider Agency | 842 Rector Ave, Auburn, KY 42206-5219 | 2019-05-09 |
| 1053876987 | Family First Pediatric Therapy LLC | Early Intervention Provider Agency | 1109 Metalwood Dr, Bardstown, KY 40004-2635 | 2019-02-05 |
| 1437629532 | Little Lives Development, LLC | Early Intervention Provider Agency | 208 Woodline Dr, Somerset, KY 42503-6280 | 2018-11-30 |
| 1245724657 | Happy Heights Theray, LLC | Early Intervention Provider Agency | 6595 Cranston Rd, Morehead, KY 40351-7069 | 2018-06-19 |
| 1558850461 | Melissa Hall Therapy Services | Early Intervention Provider Agency | 65 Oak Log Crk, Van Lear, KY 41265-9000 | 2018-05-07 |
| 1427545714 | Lynda Williamson | Early Intervention Provider Agency | 33 Williamson Ln, Canada, KY 41519-8269 | 2018-04-23 |
| 1891208427 | Megan Parker Ot, LLC | Early Intervention Provider Agency | 538 Woodbine Dr, Lexington, KY 40503-1238 | 2017-11-06 |
| Find all providers with the same taxonomy | ||||
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| 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.