Individual provider Active NPI

Robert Brian Neville, OTR/L, CHT

  • Hand Occupational Therapist
  • Lexington, KY
National Provider Identifier
1356336465
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
R2216 Issued in KY
Practice address
151 N Eagle Creek Dr
Suite 400
Lexington, KY 40509-1889
Phone
(859) 264-8866
Fax
(859) 264-1167
NPI assigned
Sep 14, 2005
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X R2216 KY Primary

Addresses

Primary practice location

151 N Eagle Creek Dr
Suite 400
Lexington, KY 40509-1889

Mailing address

151 N Eagle Creek Dr
Suite 400
Lexington, KY 40509-1889
Phone (859) 264-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R2216KYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Hand and Physical Therapy BC LLC Past Accepting new patients
Drayer Physical Therapy Kentucky LLC PastSince Sep 27, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1356336465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-264-8866",
            "fax_number": "859-264-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-264-8866",
            "fax_number": "859-264-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "ROBERT",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KY",
            "license": "R2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.