Segornae Beulah-Zoe Douglas, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60139321 Issued in WA

Practice address

12509 E Mission Ave Ste 202
Spokane Valley, WA 99216-1062

Phone

(509) 444-5678

Fax

(509) 343-5678

NPI assigned

Sep 3, 2010

Last updated

Sep 3, 2010By the provider in NPPES

Sex

Female

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

Practice roles

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

• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)
• Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1467571513

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1184931610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE STE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161062",
            "telephone_number": "509-444-5678",
            "fax_number": "509-343-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE STE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161062",
            "telephone_number": "509-444-5678",
            "fax_number": "509-343-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "SEGORNAE",
        "middle_name": "BEULAH-ZOE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60139321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Doty
• Mary U. Doucet, LMP
• Chantelle Marie Doucette, LMT
• Annie Douglas
• Lori Sue Douglas, LMHCA
• Jessica Douglass, MS, RDN, CD
• Nicole Dow
• Darby Doyle
• Dr. Allan E. Hinkle, D.D.S., P.C.
• Dr. Daniel W Skinner, P.S. (Omax)

• Occupational Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.