Wilderness Trace Child Development Center
Wilderness Trace Child Development Center is a healthcare organization registered as Physical Therapist in Danville, KY, holding Type 2 (organization) NPI 1003024084 since 2007. The authorized official on file is Libby Suttles, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003024084 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wilderness Trace Child Development Center |
| Practice address | 409 STEWARTS LN N, Danville, KY, 40422 |
| Phone | 8592360878 |
| Fax | 8592360878 |
| Enumeration date | 2007-05-21 |
| Last updated in NPPES | 2017-05-10 |
Authorized official
| Name | Libby Suttles |
|---|---|
| Title | Executive Director |
| Phone | 8592360878 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251300000X | Local Education Agency (LEA) | Secondary | 354928 | KY |
| 235Z00000X | Speech-Language Pathologist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 225100000X | Physical Therapist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100454490 | Medicaid | KY | — |
| 00153 | Other | KY | FIRST STEPS PROVIDER NUMB |
Copy-ready billing details
Provider: Wilderness Trace Child Development Center NPI: 1003024084 Taxonomy: 225100000X (Physical Therapist) Address: 409 STEWARTS LN N, Danville, KY, 40422
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093981649 | Anna Marie Diggs | Individual | Speech-Language Pathologist | Danville, KY |
| 1235395526 | Jennifer Fitzhugh | Individual | Specialist | Danville, KY |
| 1952567240 | Wendy Logan | Individual | Specialist | Danville, KY |
| 1548570716 | Erin Berry | Individual | Physical Therapist | Danville, KY |
| 1760726087 | Rachel Key | Individual | Speech-Language Pathologist | Danville, KY |
| 1831737956 | Katherine Patterson | Individual | Occupational Therapist | Danville, KY |
Verify this record
Cross-check NPI 1003024084 against the authoritative CMS record: view Wilderness Trace Child Development Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Wilderness Trace Child Development Center?
Who is the authorized official for Wilderness Trace Child Development Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-10.