Individual provider Active NPI

Douglas J Whitman, OTR/L, ATP

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1235242579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007135-1 Issued in NY
Practice address
408 E 137TH St
Bronx, NY 10454-4004
Phone
(718) 993-3458
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007135-1 NY Primary

Addresses

Primary practice location

408 E 137TH St
Bronx, NY 10454-4004

Mailing address

809 W 181St St
Suite 332
New York, NY 10033-4516
Phone (917) 449-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007135-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Past Accepting new patients
Reliance Healthcare Occupational Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: doug.whitman.p2@direct.ucpnyc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235242579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W 181ST ST",
            "address_2": "SUITE 332",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334516",
            "telephone_number": "917-449-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 137TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544004",
            "telephone_number": "718-993-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007135-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.