CMS-1500 Box 24J / 33a • NPI
1992084826
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
222Q00000X
Licensed & Credentialed Developmental Therapist
Box 32 Service Location & ZIP+4
275 E MAIN STREET HS2W C, FRANKFORT, KY, 40621-0001
✓ 9-Digit EDI 837 ZIP+4 (40621-0001)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992084826 (PETULA ETHEL DOBBS, D.I.) 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 | 1992084826 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PETULA ETHEL DOBBS, D.I. |
| Plain-English Specialty | Licensed & Credentialed Developmental Therapist NUCC Code: 222Q00000X (Developmental Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 275 E MAIN STREET HS2W C, FRANKFORT, KY, 40621-0001 |
| Practice Telephone / Fax | Tel: (502) 564-3756 |
| Administrative Mailing Address | PO BOX 1005, STEARNS, KY, 42647-1005 |
| Enumeration & Last Sync | Enumerated: 2011-08-09 | CMS Record Updated: 2011-08-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (222Q00000X)
What Does Taxonomy Code 222Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 222Q00000X translates to:
"Licensed & Credentialed Developmental Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PETULA ETHEL DOBBS, D.I.)
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 |
|---|---|
222Q00000X — Developmental TherapistPlain English: Licensed & Credentialed Developmental Therapist | State: KY | License: 201128735 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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