Wilson Pediatric Therapy Llc
LBN: Wilson Pediatric Therapy Llc
Wilson Pediatric Therapy Llc is an health care organization with primary practice located at 424 Lewis Hargett Cir # B-100 , Lexington KY 40503-3688. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Wilson Pediatric Therapy Llc can be contacted via phone (859) 475-4305, or through Wilson, Kresta Leigh via phone (859) 475-4305.
Contact Information
Primary practice address
424 Lewis Hargett Cir # B-100
Lexington KY 40503-3688
Phone: (859) 475-4305
Fax: (877) 804-4492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 005311 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | R4342 | Kentucky |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | KY 3201 | Kentucky |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | KY 3472 | Kentucky |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | KY 4155 | Kentucky |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | KY 3597 | Kentucky |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1285977462 |
|---|---|
| LBN Legal business name | Wilson Pediatric Therapy Llc |
| DBA Doing business as | |
| Authorized official | Wilson, Kresta Leigh M.S. CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2013 |
| Last updated | Jul 21st, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285977462 | NPPES |
| Kentucky | MEDICAID | 7100658910 |
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