NPIMap

Organization Active NPI

Abilities Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Sandusky, OH
National Provider Identifier
1225003874
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ABILITIES PEDIATRIC THERAPY LLC
Practice address
4806 Timber Commons Dr
Suite B
Sandusky, OH 44870-7161
Phone
(419) 621-1166
Fax
(419) 627-4263
NPI assigned
Feb 17, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Rita Dodd, OTRL CHTNPI 1790820934
Title
President
Phone
(419) 621-1166

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4806 Timber Commons Dr
Suite B
Sandusky, OH 44870-7161

Mailing address

4806 Timber Commons Dr
Suite B
Sandusky, OH 44870-7161
Phone (419) 621-1166

Other identifiers 1

IdentifierTypeStateIssuer
000000382887OtherOHANTHEM BCBS PIN

National Provider Directory

National Provider Directory

Locations

3500 Beavercrest Dr
#B
Lorain, OH 44053
Phone (440) 282-7589

4806 Timber Commons Dr
#B
Sandusky, OH 44870
Phone (419) 621-1166

4806 Timber Commons Dr
Ste B
Sandusky, OH 44870
Phone (419) 621-1166

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1225003874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 TIMBER COMMONS DR",
            "address_2": "SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707161",
            "telephone_number": "419-621-1166",
            "fax_number": "419-627-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 TIMBER COMMONS DR",
            "address_2": "SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707161",
            "telephone_number": "419-621-1166",
            "fax_number": "419-627-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITIES PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-621-1166",
        "authorized_official_credential": "OTRL CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN",
            "identifier": "000000382887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.