Active NPI
Rosemary Robisch Revoir, NBCT
- Developmental Therapist
- Corbin, KY
National Provider Identifier
1467658708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 02038
- Practice address
- 305 W 5TH St
Corbin, KY 40701-1609 - Phone
- (606) 521-2316
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 02038 | KY | Primary |
Addresses
Primary practice location
305 W 5TH St
Corbin, KY 40701-1609
Mailing address
305 W 5TH St
Corbin, KY 40701-1609
Phone (606) 521-2316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02038 | Other | KY | FIRST STEPS |
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 |
|---|---|---|---|
| 02038 | KY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1467658708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W 5TH ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011609",
"telephone_number": "606-521-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W 5TH ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011609",
"telephone_number": "606-521-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVOIR",
"first_name": "ROSEMARY",
"middle_name": "ROBISCH",
"name_prefix": "Mrs.",
"credential": "NBCT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": "02038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST STEPS",
"identifier": "02038",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.