Demetria Dolores Ackerman, OTR
Individual provider Active NPI Occupational Therapist · Louisville, KY
NPI 1154789782 · NPPES record last updated Feb 10, 2016
Key facts
- NPI
- 1154789782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0769 (FL)
- Practice address
- 2701 Chestnut Station CT
Louisville, KY 40299-6395 - Phone
- (800) 335-1060
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0769 | FL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0769 | FL | Yes |
Addresses
Primary practice location
2701 Chestnut Station CT
Louisville, KY 40299-6395
Mailing address
5937 Cedarwood LN
Bradenton, FL 34203-7311
Phone (941) 727-0418
Other providers in Louisville, KY
- Achieving More LLC
- Achillies Foot and Ankle Center Inc
- Lachelle Achterberg
- Angela Risser Ackerman
- Anna Ackerman
- Regan Wiesemann Ackerman
- Douglas M Ackermann
- Julie A Ackley
- Korie Dunhoft Acord
- Timothy Scott Acord
All providers in Louisville, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.