Bluegrass Therapy PLLC
NPI 1063066009 · Clinic/Center · Prestonsburg, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bluegrass Therapy PLLC is a Clinic/Center organization in Prestonsburg, KY (NPI 1063066009).
Provider details
- NPI number
- 1063066009
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mara Childers, Co-Owner(606) 791-7435
Specialties & taxonomies
Ambulatory Health Care Facilities
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-29
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Bluegrass Therapy PLLC's NPI number?
- Bluegrass Therapy PLLC's National Provider Identifier (NPI) is 1063066009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluegrass Therapy PLLC?
- Bluegrass Therapy PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bluegrass Therapy PLLC located?
- Bluegrass Therapy PLLC's practice location on file with NPPES is 1191 S Lake Dr, Prestonsburg, KY 41653-1349.
- What is Bluegrass Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bluegrass Therapy PLLC is (606) 791-7435.
- Does Bluegrass Therapy PLLC accept Medicare?
- Bluegrass Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bluegrass Therapy PLLC?
- The authorized official listed on Bluegrass Therapy PLLC's NPPES record is Mara Childers, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluegrass Therapy PLLC's NPI active?
- Yes — Bluegrass Therapy PLLC's NPI (1063066009) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.