Light The Way Pediatric Therapy Services, LLC
Speech-Language Pathologist, in Bardstown, KY. Organization (NPI-2).
Details
- NPI
- 1164076832
- Entity type
- Organization (NPI-2)
- Legal business name
- Light The Way Pediatric Therapy Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2019
- Certification date
- Apr 21, 2021
- Last updated
- Apr 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 225100000X | Physical Therapist | – | – |
Practice location
107 Manor Ave Ste 204Bardstown, KY 40004-2800
Phone 502-233-1305 · Fax 502-509-0612
Mailing address
130 Chester Hahn RdBloomfield, KY 40008-7014
Phone 862-268-6139
Other practice locations
Bloomfield, KY 40008-7014
Phone 862-268-6139
Authorized official
Samantha Lynn Lynch
Owner, Speech-Language Pathologist
8622686139
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Speech-Language Pathologist providers in Bardstown · All 648 providers in Bardstown
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