Provider Demographics
NPI:1013652189
Name:ROBBINS, PATRICK DOUGLAS (OTR/L)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:DOUGLAS
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 E COUNTY ROAD 100 N
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47346-9509
Mailing Address - Country:US
Mailing Address - Phone:864-430-8650
Mailing Address - Fax:
Practice Address - Street 1:2401 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3428
Practice Address - Country:US
Practice Address - Phone:765-747-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23083225X00000X
COOT.0006976225X00000X
IDOT-2407225X00000X
MTOTP-OT-LIC-8536225X00000X
SC5384225X00000X
IN31007693A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist