ACTIVE DAY OF WATTERSON PARK
NPI 1851430367
Clinic/Center - Developmental Disabilities in Louisville, KY

Q: What is Active Day Ky, Inc.'s NPI number?

The NPI number for Active Day Ky, Inc. is 1851430367. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Active Day Of Watterson Park.

Q: What is Active Day Ky, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since February 05, 2007CLIA 18D0981415 · Waiver

1920 GOLDSMITH LN, SUITE 100, LOUISVILLE, KY 40218(502) 366-5777(502) 366-4599 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2016, Jun 20, 2016 (2 updates tracked since 2016).

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About Active Day Of Watterson Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE DAY OF WATTERSON PARK (NPI 1851430367) is a healthcare organization registered as a developmental disabilities in Louisville, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Craig Mehnert, Coo, as its authorized official.

NPPES Registry Identity

NPI1851430367

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameACTIVE DAY KY, INC.

Location Address1920 GOLDSMITH LN, SUITE 100Louisville, KY 40218-2073

Mailing Address6 Neshaminy Interplex, Suite 401Trevose, PA 19053-6964 · (215) 642-6600 · Fax (215) 642-6610

Phone(502) 366-5777

Fax(502) 366-4599

Organization SubpartYesParent: Active Day, Inc.

Authorized OfficialCraig MehnertCoo · (215) 642-6600

Enumeration DateFebruary 5, 2007

Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration

✔ NPI 1851430367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

1920 GOLDSMITH LN, Louisville, KY 40218

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Other Names 1

Doing Business AsActive Day Of Watterson Park

Other Identifiers 2

Medicaid3300131400KY

Medicaid4300082700KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0981415

Active Day Of Watterson Park · Louisville, KY

Active · expires Dec 26, 2026

CLIA Number18D0981415

Laboratory TypeAdhc

Certificate Effective DateDecember 27, 2024

Certificate Expiration DateDecember 26, 2026

Laboratory DirectorMs. Kimberly Reisz

Laboratory Phone(502) 366-5777

Laboratory LocationActive Day Of Watterson Park1920 Goldsmith Lane Suite 100, Louisville, KY 40218

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA MARIS MS, OTR/L

Occupational Therapist

1920 GOLDSMITH LN
LOUISVILLE, KY 40218

Jefferson County (502) 594-4013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Day Ky, Inc.'s NPI number?

The NPI number for Active Day Ky, Inc. is 1851430367. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Active Day Of Watterson Park.

Where is Active Day Ky, Inc. located?

Active Day Ky, Inc. is located at 1920 Goldsmith Ln Suite 100, Louisville, KY 40218. The listed phone number is (502) 366-5777.

What is Active Day Ky, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Does Active Day Ky, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0981415) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Day Ky, Inc. was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.