Individual provider Active NPI

Thomas D Abbott, OT, CHT

  • Occupational Therapist
  • Montrose, AL
National Provider Identifier
1003016239
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1265 Issued in AL
Practice address
22873 US Hwy 98
Building I Suite 5
Montrose, AL 36559
Phone
(251) 408-7779
Fax
(251) 408-7779
NPI assigned
Jul 25, 2007
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1265 AL Primary

Addresses

Primary practice location

22873 US Hwy 98
Building I Suite 5
Montrose, AL 36559

Mailing address

8826 Lake View Dr
Fairhope, AL 36532-6939
Phone (251) 408-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105001685 AL Practitioner - Occupational Therapist in Private Practice 0143455832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

243 Greeno Rd S
Fairhope, AL 36532-1902
Phone (251) 928-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1265ALMDAthletic Trainer
OT1265ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sixfourthree, LLC CurrentSince Mar 1, 2025 Accepting new patients
Fairhope Physical Therapy Services, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Sixfourthree, LLC CurrentSince Mar 1, 2025 Accepting new patients
Sixfourthree OT, LLC Occupational Therapist CurrentSince Mar 1, 2025 Accepting new patients
Irehab Past Accepting new patients
Bodalia Rehab Services, Inc Past Accepting new patients

Locations

802 Main Ave NE
Ste C
Cullman, AL 35055
Phone (256) 727-5286

243 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-3909

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1003016239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 LAKE VIEW DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365326939",
            "telephone_number": "251-408-7779",
            "fax_number": "251-408-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22873 US HWY 98",
            "address_2": "BUILDING I SUITE 5",
            "city": "MONTROSE",
            "state": "AL",
            "postal_code": "36559",
            "telephone_number": "251-408-7779",
            "fax_number": "251-408-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "OT, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "OT1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.