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2412 Greatstone Point Lexington KY 40504 | |
| (859) 224-4081 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Rehabilitation Practitioner |
| Location | 2412 Greatstone Point, Lexington, Kentucky |
| Authorized Official Name and Position | Julie L Kennedy (MEMBER/OWNER) |
| Authorized Official Contact | 8592244081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2412 Greatstone Point Lexington KY 40504 Ph: (859) 224-4081 | 2412 Greatstone Point Lexington KY 40504 Ph: (859) 224-4081 |
| NPI Number | 1659466647 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 8628500923 |
|---|---|
| Medicare Enrollment ID | O20241011000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659466647 | NPI | - | NPPES |
| 17000423 | Medicaid | KY | |
| 7100346510 | Medicaid | KY | |
| 7100269450 | Medicaid | KY | |
| 7100346330 | Medicaid | KY | |
| 7100346480 | Medicaid | KY | |
| 7100426860 | Medicaid | KY | |
| 7100346300 | Medicaid | KY |
| Provider Name | Lindsey Ortiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225286453 PECOS PAC ID: 3870928179 Enrollment ID: I20200114003644 |
| Provider Name | Ann Berry Raymond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366590721 PECOS PAC ID: 4183167422 Enrollment ID: I20240614003130 |
| Provider Name | Liana Bucciarelli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487252078 PECOS PAC ID: 4789116088 Enrollment ID: I20241011000243 |
| Provider Name | Bethany Cooper Watt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346398799 PECOS PAC ID: 7315479615 Enrollment ID: I20241011000251 |
| Provider Name | Carolyn Hawthorne Sizemore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194873562 PECOS PAC ID: 3173055498 Enrollment ID: I20241011001024 |
| Provider Name | Sarah Meigs Melanson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740367333 PECOS PAC ID: 2264964568 Enrollment ID: I20241011001106 |
| Provider Name | Margaret Taylor Shelton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982062618 PECOS PAC ID: 7810429149 Enrollment ID: I20241011001562 |
| Provider Name | Wendy Modjeski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912043472 PECOS PAC ID: 2264964592 Enrollment ID: I20241011001651 |
| Provider Name | Jessica Nicole Liggett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598255457 PECOS PAC ID: 5991237224 Enrollment ID: I20241011001680 |
| Provider Name | Lindsey Wilhoit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689045213 PECOS PAC ID: 5799217022 Enrollment ID: I20241011001726 |
| Provider Name | Tara Elise Reed |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1710149919 PECOS PAC ID: 4587196829 Enrollment ID: I20241011001890 |
| Provider Name | Susan R Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699825596 PECOS PAC ID: 2668904905 Enrollment ID: I20241011001923 |
| Provider Name | Rachelle Lefevre |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467199471 PECOS PAC ID: 8628500964 Enrollment ID: I20241011002072 |
| Provider Name | Lauren Ashley Popp |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215258058 PECOS PAC ID: 7517499858 Enrollment ID: I20241011002148 |
| Provider Name | Barbara Teague |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1336562842 PECOS PAC ID: 1951833201 Enrollment ID: I20241011002309 |
| Provider Name | Amanda Holland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073245569 PECOS PAC ID: 0547792731 Enrollment ID: I20241012000089 |
| Provider Name | David P'pool |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780255067 PECOS PAC ID: 1557893666 Enrollment ID: I20241015000112 |
| Provider Name | Suzanne Mortara Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831276138 PECOS PAC ID: 6507398070 Enrollment ID: I20241022003130 |
| Provider Name | Tammy Hammond-natof |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1689983462 PECOS PAC ID: 2365975703 Enrollment ID: I20241024000522 |
| Provider Name | Julie Lynn Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609924067 PECOS PAC ID: 1355873654 Enrollment ID: I20241119001610 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
Verbal Behavior Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Strader Dr Ste 150, Lexington, KY 40505 Phone: 859-899-9200 Fax: 859-899-9202 | |
Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
Kvc Behavorial Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Beasley St, Lexington, KY 40509 Phone: 859-254-1035 | |
Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
Mended Counseling & Trauma Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Euclid Ave Ste A102, Lexington, KY 40502 Phone: 859-338-0006 |