Individual provider Active NPI

Savannah Nunnery, OT

  • Occupational Therapist
  • Georgetown, KY
National Provider Identifier
1821707019
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
281832 Issued in KY
Practice address
105 Lawson Dr Ste 4
Georgetown, KY 40324-9696
Phone
(502) 642-5400
Fax
(502) 642-5411
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 281832 KY Primary

Addresses

Primary practice location

105 Lawson Dr Ste 4
Georgetown, KY 40324-9696

Mailing address

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221212002294 KY Practitioner - Occupational Therapist in Private Practice 1153790225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Hand Therapy Occupational Therapist CurrentSince Nov 3, 2022 Accepting new patients
Commonwealth Hand Therapy Occupational Therapist CurrentSince Nov 3, 2022 Accepting new patients

Locations

127 Clay Dr
Berea, KY 40403
Phone (859) 756-3281

105 Lawson Dr
Ste 4
Georgetown, KY 40324
Phone (502) 642-5400

330 Waller Ave
Ste 275
Lexington, KY 40504
Phone (859) 447-8599

2443 Sir Barton Way
Ste 125
Lexington, KY 40509
Phone (859) 551-3381

100 Bacho Way
Ste 300
London, KY 40741
Phone (606) 657-0733

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Hand Therapy 36 clinicians

Practice addresses (Care Compare)

105 Lawson Dr
Suite 4
Georgetown, KY 40324-9696
Phone (502) 642-5400

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1821707019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WALLER AVE STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042930",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAWSON DR STE 4",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249696",
            "telephone_number": "502-642-5400",
            "fax_number": "502-642-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNERY",
        "first_name": "SAVANNAH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "281832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.