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:
Map and Directions
Authorized official contact:
Name: Wilson, Kresta Leigh M.S. CCC-SLP
Phone: (859) 475-4305

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285977462 NPPES
Kentucky MEDICAID 7100658910

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