Organization Active NPI

Creative Occupational Therapy Solutions

  • Health Service Clinic/Center
  • La Grange, KY
National Provider Identifier
1124477559
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R5453 Issued in KY
Legal business name
CREATIVE OCCUPATIONAL THERAPY SOLUTIONS
Practice address
1812 Grand Villa Dr
La Grange, KY 40031-8991
Phone
(502) 225-4260
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Mrs. Angela Ann Rabeneck, OTR/LNPI 1275982696
Title
Manager
Phone
(502) 225-4260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X R5453 KY Primary

Addresses

Primary practice location

1812 Grand Villa Dr
La Grange, KY 40031-8991

Mailing address

1812 Grand Villa Dr
La Grange, KY 40031-8991
Phone (502) 225-4260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1124477559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 GRAND VILLA DR",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318991",
            "telephone_number": "502-225-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 GRAND VILLA DR",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318991",
            "telephone_number": "502-225-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OCCUPATIONAL THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "RABENECK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-225-4260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "R5453",
            "primary": true
        }
    ],
    "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 Jun 7, 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.