Lymphatic & Occupational Mobile Rehab PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LYMPHATIC & OCCUPATIONAL MOBILE REHAB PLLC

Practice address

522 Southern Cross Dr
Richmond, KY 40475-7037

Phone

(859) 979-6480

NPI assigned

Mar 27, 2022

Last updated

Mar 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Washburn, OTR/L, LMT, CLTNPI 1831739531

Title

Owner

Phone

(859) 979-6480

Specialties & licenses 1

Addresses

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.

• Jason Washburn, OTR/L, LMT, CLT

  • Occupational Therapist
  • Lexington, KY
  • NPI 1831739531
  NPD Authorized official

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1861142390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SOUTHERN CROSS DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 SOUTHERN CROSS DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757037",
            "telephone_number": "859-979-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHATIC & OCCUPATIONAL MOBILE REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-979-6480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, LMT, CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Richmond, KY
• Providers in Richmond, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; 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.