| Capacity Care,inc | |
|
4033 Taylorsville Rd Suite 100 Louisville KY 40220-1521 | |
| (502) 893-8414 | |
| (502) 893-8705 |
| Full Name | Capacity Care,inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4033 Taylorsville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Theresa Mills Hinton (OWNER) |
| Authorized Official Contact | 5028938414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capacity Care,inc Po Box 4338 Louisville KY 40204-0338 Ph: (502) 893-8414 | Capacity Care,inc 4033 Taylorsville Rd Suite 100 Louisville KY 40220-1521 Ph: (502) 893-8414 |
| NPI Number | 1790972768 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 04/19/2024 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 9830561869 |
|---|---|
| Medicare Enrollment ID | O20230220002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790972768 | NPI | - | NPPES |
| Provider Name | Kerrie J Anthony |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801042627 PECOS PAC ID: 5294800264 Enrollment ID: I20080826000793 |
| Provider Name | Jacquelyn L Hieatt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073727566 PECOS PAC ID: 7416227608 Enrollment ID: I20170720002097 |
| Provider Name | Carrie Morgeson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851618664 PECOS PAC ID: 4880964097 Enrollment ID: I20170720002881 |
| Provider Name | Susan Lynn Fackler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588054589 PECOS PAC ID: 7416322367 Enrollment ID: I20230407000667 |
| Provider Name | Emily Peters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174902274 PECOS PAC ID: 0840564662 Enrollment ID: I20230505000409 |
| Provider Name | Leann Kerr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730556531 PECOS PAC ID: 3577908839 Enrollment ID: I20240227002445 |
| Provider Name | Lauren Hillary Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831568864 PECOS PAC ID: 3375066962 Enrollment ID: I20250324003515 |
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