Active NPI
Ernest Daisean Dubose, OTR/L
- Occupational Therapist
- Huntsville, AL
National Provider Identifier
1255214839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6648
- Practice address
- 2061 Poole Dr NW
Huntsville, AL 35810-3843 - Phone
- (256) 975-0187
- NPI assigned
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6648 | AL | Primary |
Addresses
Primary practice location
2061 Poole Dr NW
Huntsville, AL 35810-3843
Mailing address
245 Cahaba Valley Pkwy Ste 200
Pelham, AL 35124-2217
Phone (205) 942-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33 Hughes Rd
Madison, AL 35758-2238
Phone (256) 464-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6648 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed Orthopaedic Specialists, PC | Current | Accepting new patients | |
| Sportsmed Orthopaedic Specialists | Current | Accepting new patients |
Locations
4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500
33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327
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.
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1508947839
-
- Orthopaedic Surgery Physician
- Athens, AL
- NPI 1790826816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1255214839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY STE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242217",
"telephone_number": "205-942-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 POOLE DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103843",
"telephone_number": "256-975-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "ERNEST",
"middle_name": "DAISEAN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "6648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.