MARSHALL PEDIATRIC THERAPY LLC NPI 1104198472

NPI Information

  • NPI: 1104198472
  • Provider Name: MARSHALL PEDIATRIC THERAPY, LLC
  • Classification: Occupational Therapist - 225XP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 109 WIND HAVEN DR STE 100
    NICHOLASVILLE, KY
    ZIP 40356
  • Phone: (859) 224-2273

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NPI Details

MARSHALL PEDIATRIC THERAPY, LLC is a pediatrics occupational therapist in Nicholasville, KY. The provider is occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. MARSHALL PEDIATRIC THERAPY, LLC NPI is 1104198472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 WIND HAVEN DR STE 100
NICHOLASVILLE, KY
ZIP 40356-010
Phone: (859) 224-2273
Fax: (859) 224-4675

The provider's authorized official is Pam Marshall .
The authorized official title is Occupational Therapist / Owner and has the following contact phone number (859) 224-2273.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 2/25/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional1196KENTUCKYNo
2225100000XPhysical Therapist5326KENTUCKYNo
3225X00000XOccupational TherapistNo
4225XP0019XOccupational TherapistPhysical RehabilitationNo
5225XP0200XOccupational TherapistPediatricsR3083KENTUCKYYes
6235Z00000XSpeech-Language Pathologist4077KENTUCKYNo
7251S00000XCommunity/Behavioral HealthNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100328480MEDICAIDKENTUCKY
27100278210MEDICAIDKENTUCKY
37100205670MEDICAIDKENTUCKY
47100299670MEDICAIDKENTUCKY
57100215800MEDICAIDKENTUCKY
67100275720MEDICAIDKENTUCKY
77101016200MEDICAIDKENTUCKY

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: 3/30/2025

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