Individual provider Active NPI

Dana Marie Padgett, OTR/L

  • Occupational Therapist
  • Elizabethtown, KY
National Provider Identifier
1275979569
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KY-R2789 Issued in KY
Practice address
1205 Woodland Dr
Suite B100
Elizabethtown, KY 42701-2709
Phone
(270) 766-1055
Fax
(270) 766-1056
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X KY-R2789 KY Primary

Addresses

Primary practice location

1205 Woodland Dr
Suite B100
Elizabethtown, KY 42701-2709

Mailing address

1205 Woodland Dr
Suite B100
Elizabethtown, KY 42701-2709
Phone (270) 766-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325000956 KY Practitioner - Occupational Therapist in Private Practice 8426289273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibrant Therapy IncGroup PAC ID 1456582295, 2 clinicians

Practice addresses (Care Compare)

1205 Woodland Dr
Suite B100
Elizabethtown, KY 42701-2709

1233 Woodland Dr
Elizabethtown, KY 42701-2709
Phone (270) 766-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R2789KYMDInternal Medicine Physician
KY-R2789KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Therapy, Inc Occupational Therapist CurrentSince Oct 30, 2013 Accepting new patients
Vibrant Therapy Inc Occupational Therapist CurrentSince Feb 3, 2014 Accepting new patients

Locations

1205 Woodland Dr
Ste B100
Elizabethtown, KY 42701
Phone (270) 766-1055

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1275979569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WOODLAND DR",
            "address_2": "SUITE B100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012709",
            "telephone_number": "270-766-1055",
            "fax_number": "270-766-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WOODLAND DR",
            "address_2": "SUITE B100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012709",
            "telephone_number": "270-766-1055",
            "fax_number": "270-766-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.