Organization provider

MARSHALL PEDIATRIC THERAPY, LLC

Pediatric Occupational Therapist Professional Counselor Physical Therapist Medicare enrolled

MARSHALL PEDIATRIC THERAPY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104198472, based in Nicholasville, KY. The organization lists 7 taxonomy classifications, with Pediatric Occupational Therapist recorded as primary.

Getting there

The practice address on file is 109 WIND HAVEN DR STE 100, Nicholasville, KY 40356. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

109 WIND HAVEN DR STE 100, Nicholasville, KY 40356 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R3083 KY Pediatric Occupational Therapist primary
1196 KY Professional Counselor
5326 KY Physical Therapist
4077 KY Speech-Language Pathologist

This provider holds licence R3083 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6406019215
Enrollment ID
O20120515000163

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatrics covers

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. NUCC Health Care Provider Taxonomy, code 225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Pediatrics

All registered taxonomy codes

This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
225XP0200X Pediatric Occupational Therapist Pediatrics R3083 KY primary
101YP2500X Professional Counselor Professional 1196 KY
225100000X Physical Therapist 5326 KY
225X00000X Occupational Therapist
225XP0019X Physical Rehabilitation Occupational Therapist Physical Rehabilitation
235Z00000X Speech-Language Pathologist 4077 KY
251S00000X Community/Behavioral Health Agency

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104198472 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 2, 2012
Last updatedFeb 25, 2025
StatusActive
Practice address 109 WIND HAVEN DR STE 100
Nicholasville, KY 40356
(859) 224-2273
Fax (859) 224-4675
Other identifiers 7100328480 · Medicaid (KY)
7100278210 · Medicaid (KY)
7100205670 · Medicaid (KY)
7100299670 · Medicaid (KY)
7100215800 · Medicaid (KY)
7100275720 · Medicaid (KY)
7101016200 · Medicaid (KY)
This record was updated on Feb 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104198472 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 9 8 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 9 7 4 5

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104198472?
NPI 1104198472 is the National Provider Identifier assigned to MARSHALL PEDIATRIC THERAPY, LLC in Nicholasville, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics cover?
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…
How do I contact MARSHALL PEDIATRIC THERAPY, LLC?
The phone number on file with NPPES is (859) 224-2273, last updated Feb 25, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MARSHALL PEDIATRIC THERAPY, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104198472 a valid number?
Yes. 1104198472 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.