Jeffrey Doolittle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06892 Issued in KS

Practice address

1410 S Main St
Ottawa, KS 66067-3529

Phone

(785) 242-2113

Fax

(785) 242-2116

NPI assigned

Oct 5, 2021

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1073285300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018799",
            "telephone_number": "620-223-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673529",
            "telephone_number": "785-242-2113",
            "fax_number": "785-242-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Woodland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Scott",
            "state": "KS",
            "postal_code": "667018799",
            "country_code": "US",
            "telephone_number": "620-223-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.