Jeneane Douglas, LPTA, C-SLPA, B.S.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7583 Issued in OR

Practice address

290 Moyer LN NW
Salem, OR 97304-3822

Phone

(503) 370-8990

NPI assigned

Jan 7, 2009

Last updated

Jan 7, 2009By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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.

• Easter Seals Oregon

  • Rehabilitation Clinic/Center
  • Salem, OR
  • NPI 1922072487
  NPD (past)
• Easter Seals Oregon Children's Therapy Center

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1720315120
  NPD (past)

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1295972693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MOYER LN NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043822",
            "telephone_number": "503-370-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MOYER LN NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043822",
            "telephone_number": "503-370-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JENEANE",
        "name_prefix": "Mrs.",
        "credential": "LPTA, C-SLPA, B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "7583",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OR",
            "license": "A0257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T. Dougher, LCSW
• Ladina M Dougherty
• Nancy K Dougherty, MD
• Douglas J. Schubert,D.C., P.C.
• Douglas Whitehead MD PC (Proactive MD SAIF)
• Scott Patrick Douglas, DPT
• Janelle Lee Douglass
• Trevor Stanley Douglass, DC, CCSP, MPH
• Doulas of Salem, LLC
• Volodymyr Y. Dovhyy, MD

• Physical Therapy Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.