Thomas D Abbott, OT, CHT
Individual provider Active NPI Occupational Therapist · Montrose, AL
NPI 1003016239 · NPPES record last updated Apr 29, 2013
Key facts
- NPI
- 1003016239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1265 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131105001685 | AL | Practitioner - Occupational Therapist in Private Practice | 0143455832 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1265 | AL | MD | Athletic Trainer |
| OT1265 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sixfourthree, LLC | Current |
Accepting new patients | |
| Fairhope Physical Therapy Services, Inc. | Current |
Accepting new patients | |
| Sixfourthree, LLC | Current |
Accepting new patients | |
| Sixfourthree OT, LLC | Occupational Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1265 | AL | Yes |
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
Other providers in Montrose, AL
- Abbott Rehabilitation Services
- Ronald Connally
- Robert Eubanks
- Brent M Harwood
- Irehab
- Megginson Therapies, LLC
All providers in Montrose, AL · Occupational Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.