Individual provider Active NPI

Lindsay R Eubanks, M.ED., OTR/L, ATP

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1497909352
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KYR2990 Issued in KY
Practice address
432 E Ormsby Ave
Louisville, KY 40203-2644
Phone
(502) 494-3656
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X
Occupational Therapist 225X00000X KYR2990 KY Primary

Addresses

Primary practice location

432 E Ormsby Ave
Louisville, KY 40203-2644

Mailing address

3328 Illinois Ave
Louisville, KY 40213-1016
Phone (502) 494-3656

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
KYR2990KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1497909352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 ILLINOIS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131016",
            "telephone_number": "502-494-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E ORMSBY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032644",
            "telephone_number": "502-494-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.ED., OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KYR2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 1, 2013; 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.