Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wilson Pediatric Therapy LLC

Organization Early Intervention Provider Agency · NPI 1063734333

Wilson Pediatric Therapy LLC is an Early Intervention Provider Agency in Lexington, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

424 Lewis Hargett Cir # B-100
Lexington, KY 40503-3688
Phone: (859) 475-4305
Fax: (877) 804-4492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Lewis Hargett Cir Ste 120, Lexington, KY 40503 — (859) 475-4305

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 3201 (KY)

Record details

NPI number1063734333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kresta Wilson — Owner/Speech Language Pathologist · (859) 806-5717
NPI enumeratedFebruary 26, 2010
Last updated in NPPESSeptember 24, 2020
Certification dateAugust 3, 2020
Mailing address424 Lewis Hargett Cir # B-100, Lexington, KY 40503-3688

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