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NPI Code Detail

MEDICARE: GAGE ROBERT ROBINSON OT/L

MEDICARE: GAGE ROBERT ROBINSON OT/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist289166KY

General Provider Information

NPI Number : 1376319046
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAGE ROBERT ROBINSON OT/L
Provider Business Mailing Address
First Line : 96 HUME BEDFORD RD
Second Line :
City : PARIS
State : KY
Zip : 40361-1016
Country : US
Telephone Number : 859-707-5766
Fax Number :
Provider Business Practice Location Address
First Line : 690 MASON HEADLEY RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-2384
Country : US
Telephone Number : 859-278-9080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2023
Last Update Date : 05/29/2025

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