Individual provider Active NPI

Cynthia K Donner, OTR/L

  • Occupational Therapist
  • La Grange, KY
National Provider Identifier
1073985974
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R0263 Issued in KY
Practice address
1204 Cedar Springs Pkwy
La Grange, KY 40031-8037
Phone
(502) 376-2536
NPI assigned
Oct 30, 2015
Last updated
May 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R0263 KY Primary
Neurorehabilitation Occupational Therapist 225XN1300X R0263 KY
Physical Rehabilitation Occupational Therapist 225XP0019X R0263 KY
Environmental Modification Occupational Therapist 225XE0001X R0263 KY

Addresses

Primary practice location

1204 Cedar Springs Pkwy
La Grange, KY 40031-8037

Mailing address

1204 Cedar Springs Pkwy
La Grange, KY 40031-8037
Phone (502) 376-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0263KYMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1073985974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 CEDAR SPRINGS PKWY",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318037",
            "telephone_number": "502-376-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 CEDAR SPRINGS PKWY",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318037",
            "telephone_number": "502-376-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R0263",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "KY",
            "license": "R0263",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KY",
            "license": "R0263",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "KY",
            "license": "R0263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.