Kelli Douglas, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1864 High Grove LN
Naperville, IL 60540-9233

Phone

(708) 478-1820

NPI assigned

Jun 19, 2014

Last updated

Oct 20, 2017By 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)

Not 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.

• Bautz Developmental Intervention Inc

  • Physical Therapist
  • Orland Park, IL
  • NPI 1376530055
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1225442965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 STEWART DR APT 513",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605273145",
            "telephone_number": "773-706-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 HIGH GROVE LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409233",
            "telephone_number": "708-478-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Stirling Ln",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605273178",
            "country_code": "US",
            "telephone_number": "973-979-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KELLI",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Double a Vision PLLC
• Double Doc, Inc. (Health & Pain Clinic)
• Dougherty Family Chiropractic PC (Lifetime Health and Wellness)
• Michelle Senatore Dougherty, D.C.
• Blake A Douglas, OTR/L
• Sarah Bronwen N Douglas
• Tiffany Douglas, CNP
• Kathryn Douma, LCSW, CCM
• Starr Dowdy
• Anna Maria Downing

• Occupational Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.