Unknown Individual – Speech-Language Pathologist, NPI 1689805780

Speech-Language Pathologist

Unknown Individual is a healthcare provider. based in Frankfort, Kentucky. specializing in Speech-Language Pathologist. They hold a License No. 1224 (KY). The NPI Number for Unknown Individual is 1689805780

Main info

Organization

Inactive

48 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1689805780

Phone

(502) 226-3858

Address

PO BOX 1430

Deactivation Date

24 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8665056724

Graduation Year

1978 (48 years ago)

PAC ID

8224183157

Group Practice PAC ID

3971609165

Professional Enrollment ID

I20090828000364

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

Frankfort Post Office, 21201, South Elsner Road, Frankfort, Will County, Illinois, 60423, United States
FRANKFORT, KY 406021430
Phone: (502) 226-3858
Fax: (502) 223-9829
Type: Mailing
190, West Broadway, Campbellsville, Taylor County, Kentucky, 42718, United States
SUITE 103
CAMPBELLSVILLE, KY 42718
Phone: (270) 789-6629
Fax: (270) 789-0424
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3971609165View full group profile

Name	Specialty	State
LISA MICHELLE FERRIS (PT)	Physical Therapist In Private Practice	KY
KYLE BRYAN SALSBURY (P.T.)	Physical Therapist In Private Practice	KY
ANDREW DORNBROOK (PT, DPT)	Physical Therapist In Private Practice	KY

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1689805780.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Frankfort, Kentucky. Check all listed addresses for suites or satellite offices.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.