NPIMap

Organization Active NPI

Dovetail Therapy, PLLC

  • Rehabilitation Clinic/Center
  • Radcliff, KY
National Provider Identifier
1720486012
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
BOTOCT Issued in KY
Legal business name
DOVETAIL THERAPY, PLLC
Practice address
645 Knox Blvd
Radcliff, KY 40160-1514
Phone
(270) 351-2224
Fax
(502) 849-1279
NPI assigned
Dec 18, 2014
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Robin Carol Abbott, OTR/LNPI 1467431197
Title
Occupational Therapist/Owner
Phone
(270) 351-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X BOTOCT00210728 KY
Early Intervention Provider Agency 252Y00000X BOTOCT00210728 KY
Rehabilitation Clinic/Center 261QR0400X BOTOCT KY Primary

Addresses

Primary practice location

645 Knox Blvd
Radcliff, KY 40160-1514

Mailing address

PO Box 558
Radcliff, KY 40159-0558
Phone (270) 351-2224

Other names 1

  • Dovetail Pediatric Therapy Other name

National Provider Directory

National Provider Directory

Locations

645 Knox Blvd
Radcliff, KY 40160
Phone (270) 351-2224

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1720486012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401590558",
            "telephone_number": "270-351-2224",
            "fax_number": "502-849-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 KNOX BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601514",
            "telephone_number": "270-351-2224",
            "fax_number": "502-849-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVETAIL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "270-351-2224",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "BOTOCT00210728",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "BOTOCT00210728",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "BOTOCT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dovetail Pediatric Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.