Dale Edward Lynn, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

134498 Issued in KY

Practice address

2605 New Hartford Rd
Owensboro, KY 42303-1316

Phone

(270) 688-8449

Fax

(270) 240-4840

NPI assigned

Dec 4, 2006

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lynn Occupational Therapy, LLC.

  • Pediatric Occupational Therapist
  • Owensboro, KY
  • NPI 1801227301
  Authorized official Same address or phone
• Theratree, LLC.

  • Occupational Therapist
  • Owensboro, KY
  • NPI 1750808531
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1083772925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-302-9795",
            "fax_number": "270-240-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "DALE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "134498",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "134498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100268490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lung and Chest, PSC
• Mallory Rose Lutes
• Elaine Lutz, MS
• Lonnie Lyles, LCSW
• Lynn Occupational Therapy, LLC.
• Halie Lynn
• M Desai PSC
• Ursula Marie Mabrey
• Maclimore Clinic (Springs Urgent Care)
• Maclimore Clinic LLC (Springs Urgent Care)

• Pediatric Occupational Therapist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Pediatric Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.