Theodosia Vittos Dodson, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPINP00218793 Issued in KY

Practice address

103 Windsor Path
Suites 2 & 4
Georgetown, KY 40324-9610

Phone

(502) 863-3870

Fax

(502) 863-1287

NPI assigned

Dec 17, 2015

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

Enrolled in KY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1275166696

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Florence, KY
  • NPI 1669195640
  NPD
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1013587534

  Speech-Language Pathologist

  NPD (past)
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Bowling Green, KY
  • NPI 1669146254
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1760847719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WINDSOR PATH",
            "address_2": "SUITES 2 & 4",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249610",
            "telephone_number": "502-863-3870",
            "fax_number": "502-863-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WINDSOR PATH",
            "address_2": "SUITES 2 & 4",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249610",
            "telephone_number": "502-863-3870",
            "fax_number": "502-863-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "THEODOSIA",
        "middle_name": "VITTOS",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPINP00218793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Diamond
• Carly M Dickinson, LCSW
• Danielle Marie Dietz, M.D.
• Megan Elise Disponett-Lee, FNP-C
• Lyndsay Dixon
• Heather Nicole Dombrowsky, MA
• Jamie Doty, LPCC
• Dover Manor Operations LLC
• Dover Manor, Inc.
• Kevin Downes, M.D.

• Speech-Language Pathologist in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.