Robert Glenn Durrett, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

132975 Issued in KY

Practice address

142 Stuart Nelson Park Rd
Paducah, KY 42001-9678

Phone

(270) 442-9502

NPI assigned

Jan 29, 2016

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1023476546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 STUART NELSON PARK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019678",
            "telephone_number": "270-442-9502",
            "fax_number": "270-442-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 STUART NELSON PARK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019678",
            "telephone_number": "270-442-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "132975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Matthew Dunning, CRNA
• Madison Jade Dunning, CRNA
• Lauren A Dunseath
• James D Durbin, CRNA
• Melissa Durrett
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• Occupational Therapist in Paducah, KY
• Providers in Paducah, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.