Debra Eaine Puckett, OTL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2140 Issued in AL

Practice address

112 68TH St NW
Fort Payne, AL 35967-8300

Phone

(256) 997-9929

Fax

(256) 844-2994

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Debra Elaine Cash Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255454849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 MCCURDY AVE N",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864429",
            "telephone_number": "256-638-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 68TH ST NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359678300",
            "telephone_number": "256-997-9929",
            "fax_number": "256-844-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "DEBRA",
        "middle_name": "EAINE",
        "name_prefix": "Mrs.",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "CASH",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Occupational Therapist in Alabama

• 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.