Douglas Scott Gurley, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4565 Issued in NC

Practice address

2222 S 17TH St
Wilmington, NC 28401-7515

Phone

(910) 343-8209

Fax

(910) 343-8836

NPI assigned

Oct 11, 2006

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

Other identifiers 1

Other names 1

• Mr. Douglas Scott Gurley Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  NC

  Medicare reassignment Care Compare group NPD
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD
• Elderhaus, Inc

  • PACE Provider Organization
  • Wilmington, NC
  • NPI 1699983312
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1124116587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017515",
            "telephone_number": "910-343-8209",
            "fax_number": "910-343-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017515",
            "telephone_number": "910-343-8209",
            "fax_number": "910-343-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211634",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "GURLEY",
            "middle_name": "SCOTT",
            "prefix": "MR.",
            "credential": "OTRL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Mary Gullo
• Laurie James Gundlach, DPT
• Laura Nolan Gunn, CCC-SLP
• Michelle Gunn
• Brett A Gurkin, M.D.
• Gustavo Jr Gasca DMD PLLC
• Megan Watson Guthmann, IBCLC
• Rebecca Ann Guy, FNP
• Lindsey Michelle Guyton, LCMHC
• Gwen Borcyk, MSW, LCSW, PLLC

• Occupational Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.