CMS-1500 Box 24J / 33a • NPI
1679205678
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225CA2400X
Licensed & Credentialed Rehabilitation Counselor, Assistive Technology Practitioner
Box 32 Service Location & ZIP+4
1340 AIRPORT COMMERCE DR, AUSTIN, TX, 78741-6831
✓ 9-Digit EDI 837 ZIP+4 (78741-6831)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679205678 (DERRICK ROY DOBBS, ATP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679205678 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DERRICK ROY DOBBS, ATP |
| Plain-English Specialty | Licensed & Credentialed Rehabilitation Counselor, Assistive Technology Practitioner NUCC Code: 225CA2400X (Rehabilitation Counselor, Assistive Technology Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1340 AIRPORT COMMERCE DR, AUSTIN, TX, 78741-6831 |
| Practice Telephone / Fax | Tel: (254) 447-7962 |
| Administrative Mailing Address | 144 TOPAZ CIR, HEWITT, TX, 76643-2997 |
| Enumeration & Last Sync | Enumerated: 2022-06-28 | CMS Record Updated: 2022-07-05 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (225CA2400X)
What Does Taxonomy Code 225CA2400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225CA2400X translates to:
"Licensed & Credentialed Rehabilitation Counselor, Assistive Technology Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DERRICK ROY DOBBS, ATP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
247200000X — Technician, OtherPlain English: Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other | State: N/A | License: Verified | Primary: Secondary |
225CA2400X — Rehabilitation Counselor, Assistive Technology PractitionerPlain English: Licensed & Credentialed Rehabilitation Counselor, Assistive Technology Practitioner | State: N/A | License: 95655 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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