Patria Le'Nica Douglas, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

T00957 Issued in MD

Practice address

7172 50TH Avenue Cir E
Palmetto, FL 34221-9411

Phone

(305) 587-4441

NPI assigned

Jul 25, 2012

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  GA, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1285980433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7172 50TH AVENUE CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342219411",
            "telephone_number": "305-587-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 50TH AVENUE CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342219411",
            "telephone_number": "305-587-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "PATRIA",
        "middle_name": "LE'NICA",
        "name_prefix": "Miss",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "T00957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Dolan, MD
• Trevor Dooley
• Jacqueline Dorvelus
• Shelley Dostie, OTR L
• Matthew James Dougherty, DPM
• Dr Darya, LLC
• Dr Valentino Castro
• Ronald Thomas Droz, PSY.D.
• Jovan Dukic, MD
• Early Milestones Matter, LLC

• Occupational Therapist in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.