Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Masonic Homes of Kentucky Pediatric Daycare Inc

Organization Physical Therapist · NPI 1164785846

Masonic Homes of Kentucky Pediatric Daycare Inc provides Physical Therapist services in Masonic Home, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Masonic Home Dr
Masonic Home, KY 40041-9000 Not confirmed with CMS for 14 years — call before visiting
Phone: (502) 753-8224
Fax: (502) 753-8223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1164785846
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMasonic Homes of Kentucky Inc
Authorized official Kim Boden — Executive Director · (502) 753-8224
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 19, 2012
Mailing address330 Masonic Home Dr, Masonic Home, KY 40041-9000

Other providers in Masonic Home