| Associates In Pediatric Therapy | |
|
90 Howard Dr Shelbyville KY 40065-8138 | |
| (502) 633-1007 | |
| (502) 437-0624 |
| Full Name | Associates In Pediatric Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 90 Howard Dr, Shelbyville, Kentucky |
| Authorized Official Name and Position | Angela Renea Sageser (OWNER) |
| Authorized Official Contact | 5026331007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Pediatric Therapy 90 Howard Dr Shelbyville KY 40065-8138 Ph: (502) 633-1007 | Associates In Pediatric Therapy 90 Howard Dr Shelbyville KY 40065-8138 Ph: (502) 633-1007 |
| NPI Number | 1396910840 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 06/04/2019 |
| Medicare PECOS PAC ID | 5193887321 |
|---|---|
| Medicare Enrollment ID | O20081223000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396910840 | NPI | - | NPPES |
| Provider Name | Amy Oliver |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992841134 PECOS PAC ID: 8628126828 Enrollment ID: I20090428000043 |
| Provider Name | Ginette Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801022173 PECOS PAC ID: 8921152521 Enrollment ID: I20090817000463 |
| Provider Name | Amy Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396030979 PECOS PAC ID: 6406009950 Enrollment ID: I20130111000085 |
| Provider Name | Tara L Gwynn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043527609 PECOS PAC ID: 7416101761 Enrollment ID: I20130214000117 |
| Provider Name | Angela R Sageser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437221587 PECOS PAC ID: 0446312672 Enrollment ID: I20170608000169 |
| Provider Name | Rachel Breit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457694622 PECOS PAC ID: 6901139054 Enrollment ID: I20190605001825 |
| Provider Name | Amie Caple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174950380 PECOS PAC ID: 2264760792 Enrollment ID: I20190822000664 |
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