Kacey Nicole Dabbs

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2024044681 Issued in MO

Practice address

3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015

Phone

(636) 464-5439

Fax

(636) 464-5438

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lormax Rehabilitation Inc

  • Clinic/Center
  • Arnold, MO
  • NPI 1508917865
  NPD (past)
• Sunrise School District R-IX

  • Local Education Agency (LEA)
  • De Soto, MO
  • NPI 1487110854
  NPD (past)

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1124843032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD STE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439",
            "fax_number": "636-464-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD STE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439",
            "fax_number": "636-464-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4485 Sunrise School Rd",
            "address_purpose": "LOCATION",
            "city": "DE Soto",
            "state": "MO",
            "postal_code": "630205140",
            "country_code": "US",
            "telephone_number": "636-586-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABBS",
        "first_name": "KACEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024044681",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2024044681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Crane, MAC, LPC
• Alexandria Creamer
• Andreana Creamer, MS., CCC-SLP
• Betty Sue Cross, M.D.
• Paige Elaine Crow, M.S. CCC-SLP
• Susan Dames, LPC
• Megan Dandurand
• Wyatt Hayden Danner
• Matthew Daues, LCSW
• Jane Elaine Davenport

• All providers in Arnold, MO
• Pediatric Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.