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WILSON PEDIATRIC THERAPY LLC NPI 1285977462


NPI Information

NPI: 1285977462
Provider Name: WILSON PEDIATRIC THERAPY LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
424 LEWIS HARGETT CIR # B-100
LEXINGTON, KY
ZIP 40503
Phone: (859) 475-4305
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WILSON PEDIATRIC THERAPY LLC is a speech language pathologist in Lexington, KY. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. WILSON PEDIATRIC THERAPY LLC NPI is 1285977462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

424 LEWIS HARGETT CIR # B-100
LEXINGTON, KY
ZIP 40503-688
Phone: (859) 475-4305
Fax: (877) 804-4492

The provider's authorized official is Kresta Leigh Wilson .
The authorized official title is Owner/manager and has the following contact phone number (859) 475-4305.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 7/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics005311KENTUCKYNo
2225XP0200XOccupational TherapistPediatricsR4342KENTUCKYNo
3235Z00000XSpeech-Language PathologistKY 3201KENTUCKYYes
4235Z00000XSpeech-Language PathologistNo
5235Z00000XSpeech-Language PathologistKY 3597KENTUCKYNo
6235Z00000XSpeech-Language PathologistKY 4155KENTUCKYNo
7235Z00000XSpeech-Language PathologistKY 3472KENTUCKYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100658910MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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