Associates In Pediatric Therapy, Llc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Shelbyville, Kentucky. Their current practice location is
90 Howard Dr, Shelbyville, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(502) 633-1007.
Associates In Pediatric Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Associates In Pediatric Therapy, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396910840.
Healthcare Provider's Profile
| Full Name | Associates In Pediatric Therapy, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 90 Howard Dr, Shelbyville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396910840
- Provider Enumeration Date: 04/25/2008
- Last Update Date: 06/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193887321
- Enrollment ID: O20081223000425
Medical Identifiers
Medical identifiers for Associates In Pediatric Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396910840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 101156 (Kentucky) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 101156 (Kentucky) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 101156 (Kentucky) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Associates In Pediatric Therapy, Llc acts as a billing entity for following providers:
| Provider Name | Amy Oliver |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1992841134
PECOS PAC ID: 8628126828
Enrollment ID: I20090428000043 |
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| Provider Name | Ginette Allen |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1801022173
PECOS PAC ID: 8921152521
Enrollment ID: I20090817000463 |
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| Provider Name | Amy Martin |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1396030979
PECOS PAC ID: 6406009950
Enrollment ID: I20130111000085 |
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| Provider Name | Tara L Gwynn |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1043527609
PECOS PAC ID: 7416101761
Enrollment ID: I20130214000117 |
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| Provider Name | Angela R Sageser |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1437221587
PECOS PAC ID: 0446312672
Enrollment ID: I20170608000169 |
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| Provider Name | Rachel Breit |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1457694622
PECOS PAC ID: 6901139054
Enrollment ID: I20190605001825 |
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| Provider Name | Amie Caple |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1174950380
PECOS PAC ID: 2264760792
Enrollment ID: I20190822000664 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Associates In Pediatric Therapy, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Associates In Pediatric Therapy, Llc
90 Howard Dr,
Shelbyville, KY 40065-8138
Ph: (502) 633-1007 | Associates In Pediatric Therapy, Llc
90 Howard Dr,
Shelbyville, KY 40065-8138
Ph: (502) 633-1007 |
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