INDEPENDENCE AT HEART LLC (NPI# 1912386343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912386343 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE AT HEART LLC |
| Practice Address |
13003 Larkspur Ln Prospect KY 40059-9714 |
| Practice Telephone | 5023874254 |
| Mailing Telephone | 5023874254 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MS. KERRIE J ANTHONY (OWNER/ MANAGER) |
| Authorized Official Telephone | 5023874254 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
R0033 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAID | 7100338710 | 01 |
| Street Address |
13003 LARKSPUR LN |
| City | PROSPECT |
| State | KY |
| Zip Code | 40059-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801042627 | Kerrie Jean Johnson Anthony | Occupational Therapist | 13003 Larkspur Ln, Prospect, KY 40059-9714 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744919 | Cheryl L Young | Counselor | 1703 Victory Court, Prospect, KY 40059 | 2019-11-13 |
| 1790276806 | Harrods Creek Vol Fire Dept Inc | Ambulance | 8905 Us Highway 42, Prospect, KY 40059 | 2018-05-24 |
| 1952754475 | Prospect Pharmacy LLC | Pharmacy | 9549-b Us Highway 42, Prospect, KY 40059 | 2016-07-20 |
| 1972959740 | Raina Chandiramani | Dentist | 11838 Lakestone Way, Prospect, KY 40059 | 2016-05-10 |
| 1750629416 | Sanford Simon | Family Medicine | 6805 Hunter Run Place, Prospect, KY 40059 | 2013-01-30 |
| 1568707743 | Zorre Zeno Kimura | Physical Therapist | 10211 Worthington Lane, Prospect, KY 40059 | 2012-11-29 |
| 1487806634 | Jaclyn Engelsher | Acupuncturist | 10605 Meeting Street, Suite 102, Prospect, KY 40059 | 2008-10-21 |
| 1740454289 | Emily J. Baskin | Massage Therapist | 9509 Us Hwy 42, Suite 207, Prospect, KY 40059 | 2008-04-16 |
| 1942304647 | Paul Thomas Lavelle | Dentist | 13104 Us Hwy 42, Prospect, KY 40059 | 2006-09-12 |
| 1710924055 | Nasir Gardezi | Internal Medicine | 9500 Hayden Creek Court, Prospect, KY 40059 | 2006-06-02 |
| Find all providers in zip 40059 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801042627 | Kerrie Jean Johnson Anthony | Occupational Therapist | 13003 Larkspur Ln, Prospect, KY 40059-9714 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841452976 | Robert Sean Mcguirk | Occupational Therapist | 3535 Bardstown Rd, Louisville, KY 40218-4610 | 2008-06-30 |
| 1164940045 | Kelly Danette Hughes | Occupational Therapist | 148 Stuart Nelson Park Rd, Paducah, KY 42001-9678 | 2017-08-31 |
| 1841715265 | Claire Ann Catlett | Occupational Therapist | 148 Stuart Nelson Park Rd, Paducah, KY 42001-9678 | 2017-08-07 |
| 1548793573 | Toshia Donyelle Sullivan | Occupational Therapist | 142 Stuart Nelson Park Rd, Paducah, KY 42001-9678 | 2017-04-06 |
| 1720446552 | Steven Wheeler | Occupational Therapist | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-02-08 |
| 1629436944 | Devin Oak | Occupational Therapist | 11901 Shelbyville Rd, Louisville, KY 40243-1077 | 2016-02-01 |
| 1861859266 | Alissa Cannoy | Occupational Therapist | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-01-15 |
| 1194180737 | Casey Humphrey | Occupational Therapist | 103 Windsor Path, Suite 4, Georgetown, KY 40324 | 2015-12-28 |
| 1083079032 | Bethanie Skaggs-manley | Occupational Therapist | 103 Windsor Path, 4, Georgetown, KY 40324-9610 | 2015-12-17 |
| 1710352919 | Michael Davis | Occupational Therapist | 103 Windsor Path, Suite 4, Georgetown, KY 40324-9610 | 2015-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.