Individual provider Active NPI

Abby Suzanne Peak, OTR/L

  • Occupational Therapist
  • Radcliff, KY
National Provider Identifier
1932470911
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KY-2823 Issued in KY
Practice address
645 Knox Blvd
Radcliff, KY 40160-1514
Phone
(270) 351-2224
NPI assigned
Jan 23, 2012
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 KY-2823 KY Primary

Addresses

Primary practice location

645 Knox Blvd
Radcliff, KY 40160-1514

Mailing address

645 Knox Blvd
Radcliff, KY 40160-1514
Phone (270) 351-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-2823KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Occupational Therapist CurrentSince Apr 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2021 Accepting new patients
Dovetail Therapy, PLLC Past Accepting new patients

Locations

2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1932470911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 KNOX BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601514",
            "telephone_number": "270-351-2224"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "ABBY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 31, 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.