Active NPI
Vickie Dabrofsky
- Occupational Therapist
- Dallas, GA
National Provider Identifier
1689721177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001065
- Practice address
- 168 North Johnston St
Suite 104
Dallas, GA 30132 - Phone
- (770) 443-9672
- Fax
- (770) 505-3595
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | OT001065 | GA | Primary |
Addresses
Primary practice location
168 North Johnston St
Suite 104
Dallas, GA 30132
Mailing address
168 North Johnston St
Suite 104
Dallas, GA 30132
Phone (770) 443-9672
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenna Farms Therapy Services Inc | Past | Accepting new patients | |
| Amazing Grace Hospice Care, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Dallas, GA
- NPI 1154011104
-
- Specialist
- Dallas, GA
- NPI 1417904947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689721177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 NORTH JOHNSTON ST",
"address_2": "SUITE 104",
"city": "DALLAS",
"state": "GA",
"postal_code": "30132",
"telephone_number": "770-443-9672",
"fax_number": "770-505-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 NORTH JOHNSTON ST",
"address_2": "SUITE 104",
"city": "DALLAS",
"state": "GA",
"postal_code": "30132",
"telephone_number": "770-443-9672",
"fax_number": "770-505-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABROFSKY",
"first_name": "VICKIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.