Derrick Roy Dobbs, ATP

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

95655

Practice address

1340 Airport Commerce Dr
Austin, TX 78741-6831

Phone

(254) 447-7962

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1679205678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 TOPAZ CIR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432997",
            "telephone_number": "254-447-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 AIRPORT COMMERCE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416831",
            "telephone_number": "254-447-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "DERRICK",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": "95655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven B Dobberfuhl, MD
• Lori J Dobbin, RNCWHNP
• Kenneth Dobbins Jr., LPC
• Kevin James Dobbins
• Debra Dobbs, P.T.
• Angela Fox Dobinsky, MPT
• Emily Marie Dobrowski, LMSW
• Tiffany Dobry-Mendoza, BCBA, LBA
• Alexis Maire Dobson, D.C.
• Lucas Dobson, MD

• Assistive Technology Practitioner Rehabilitation Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Assistive Technology Practitioner Rehabilitation Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.