Debbie Kay Lavine, OTD, OTR/L, CIMI

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

107082 Issued in TX

Practice address

3840 Hulen St
Fort Worth, TX 76107-7277

Phone

(817) 233-8224

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Debbie Kay Edwards Former name

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1720112022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PRISCELLA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311278",
            "telephone_number": "682-557-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077277",
            "telephone_number": "817-233-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "DEBBIE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L, CIMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "107082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886100500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "EDWARDS",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "OTR, CIMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lavear Medical, P.a (CowTown Headache Center)
• Andrew Lavear, PA-C
• Rosemarie Lavilla
• Charles Henry Lavine, LPC-S
• David M. Lavine, M.D.
• Lavish Finds LLC
• Lavu Dental P.C.
• Sushma C Lavu, DDS
• Rona Wai Yin Law, D.P.M.
• Bilikisu Lawal, MD

• Pediatric Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Occupational Therapist in Texas

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