=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790630077
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ADDILYN B PIEPER OTR, OTD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2026
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2701 CHESTNUT STATION CT
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40299-6395
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-335-1060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9899 WARRICK TRL APT 1225
-----------------------------------------------------
City | NEWBURGH
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47630-3741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-797-7664
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 547024
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------