Abigail Detweiler, ATR-P

Primary specialty

Art TherapistTaxonomy code 221700000X

License

24-376 Issued in TN

Practice address

1075 Blythe Ave SE
Cleveland, TN 37311-2948

Phone

(423) 464-6006

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2024.

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1679396287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 20TH ST NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113904",
            "telephone_number": "423-464-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BLYTHE AVE SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373112948",
            "telephone_number": "423-464-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "ABIGAIL",
        "credential": "ATR-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "TN",
            "license": "24-376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Associates of Cleveland
• Deroos Family & Pediatric Health Center PC
• Timothy David Deroos, DC
• Derr Chiropractic
• Lora Kay Derr, DC
• Jessica Deuster, BEHAVIOR TECHNICIAN
• Jerry Allan Devane, MD
• Jo Lee Devane, M.D.
• Jonathan M Devaul, PT
• Diagnostic Radiology of Cleveland, PC

• All providers in Cleveland, TN
• Art Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.