KIDABILITIES PEDIATRIC THERAPY CENTER (NPI# 1700318656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700318656 |
| Entity Type | Organization |
| Organization Name | KIDABILITIES PEDIATRIC THERAPY CENTER |
| Practice Address |
2801 Us Highway 25 E Suite 98 Middlesboro KY 40965-2069 |
| Mailing Address |
535 J Goodin Branch Rd Barbourville KY 40906-8159 |
| Practice Telephone | 6065452631 |
| Mailing Telephone | 6065452631 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | LEIGH S ROARK (SLP/OWNER) |
| Authorized Official Telephone | 6065452631 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | KY | Speech, Language and Hearing Service Providers | |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
2801 US HIGHWAY 25 E SUITE 98 |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026881 | Leigh Shannon Roark | Speech-Language Pathologist | 2801 Us Highway 25 E, Suite 98, Middlesboro, KY 40965-2069 | 2007-05-23 |
| 1366077802 | Crystal Gayle Hubbard | Developmental Therapist | 2801 Us Highway 25 E, Middlesboro, KY 40965-2069 | 2020-03-05 |
| 1295986297 | Family Health Care Associates of Corbin | Clinic/Center | 2801 Us Highway 25 E, Suite 98, Middlesboro, KY 40965-2069 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| 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 |
|---|---|---|---|---|
| 1326311044 | Tonya Michelle Martin | Early Intervention Provider Agency | 701 N 25th St, Middlesboro, KY 40965-2112 | 2012-02-10 |
| 1114226701 | Madonna Millett | Early Intervention Provider Agency | 172 Wellington Dr, Middlesboro, KY 40965-9422 | 2011-03-22 |
| 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 | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
Please comment or provide details below to improve the information on KIDABILITIES PEDIATRIC THERAPY CENTER.
| 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.