Active NPI
Robin E Kublick, COTA
- Occupational Therapy Assistant
- Louisville, KY
National Provider Identifier
1437514221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- BOTOTA00222805
- Practice address
- 3404 Breckenridge LN
Apt 3
Louisville, KY 40220-3145 - Phone
- (502) 345-1331
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | BOTOTA00222805 | KY | Primary |
Addresses
Primary practice location
3404 Breckenridge LN
Apt 3
Louisville, KY 40220-3145
Mailing address
3404 Breckenridge LN
Apt 3
Louisville, KY 40220-3145
Phone (502) 345-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BOTOTA00222805 | Other | KY | KBLOT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BOTOTA00222805 | KY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1437514221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 BRECKENRIDGE LN",
"address_2": "APT 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203145",
"telephone_number": "502-345-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 BRECKENRIDGE LN",
"address_2": "APT 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203145",
"telephone_number": "502-345-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBLICK",
"first_name": "ROBIN",
"middle_name": "E",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "BOTOTA00222805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KBLOT",
"identifier": "BOTOTA00222805",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.