NPIMap

Organization Active NPI

Lynn Occupational Therapy, LLC.

  • Pediatric Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1801227301
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
134498 Issued in KY
Legal business name
LYNN OCCUPATIONAL THERAPY, LLC.
Practice address
1003 Burlew Boulevard
Suite C
Owensboro, KY 42303
Phone
(270) 688-8449
Fax
(270) 240-4840
NPI assigned
Dec 9, 2013
Last updated
Nov 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Mr. Dale Edward Lynn, OTR/LNPI 1083772925
Title
Occupational Threapist
Phone
(270) 688-8449

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
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 005369 KY
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X 134498 KY Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 142037 KY

Addresses

Primary practice location

1003 Burlew Boulevard
Suite C
Owensboro, KY 42303

Mailing address

1003 Burlew Boulevard
Suite C
Owensboro, KY 42303
Phone (270) 688-8449

Other identifiers 1

IdentifierTypeStateIssuer
7100271900MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1801227301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BURLEW BOULEVARD",
            "address_2": "SUITE C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BURLEW BOULEVARD",
            "address_2": "SUITE C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN OCCUPATIONAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OCCUPATIONAL THREAPIST",
        "authorized_official_telephone_number": "270-688-8449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005369",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "134498",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100271900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.