Robin Lynn Terry, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

136628 Issued in KY

Practice address

495 Buck Grove Rd
Ekron, KY 40117-8715

Phone

(270) 980-0613

NPI assigned

Sep 30, 2012

Last updated

Sep 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1710238779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 BUCK GROVE RD",
            "city": "EKRON",
            "state": "KY",
            "postal_code": "401178715",
            "telephone_number": "270-828-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 BUCK GROVE RD",
            "city": "EKRON",
            "state": "KY",
            "postal_code": "401178715",
            "telephone_number": "270-980-0613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471121751",
            "country_code": "US",
            "telephone_number": "812-738-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-30",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "136628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumberland Family Medical Center Inc (Ekron Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Flaherty Elementary Healthy Kids Clinic)
• Michelle Maria Jenkins, APRN
• Charity Danielle Mattingly, LCSW
• Ashley Nicole Raisor, COTA/L
• Cynthia R Ware, APRN

• Occupational Therapy Assistant in Ekron, KY
• Providers in Ekron, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.