Individual provider Active NPI

Marcus Doughty, OT

  • Occupational Therapist
  • North Platte, NE
National Provider Identifier
1316245095
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1543 Issued in NE
Practice address
1115 S Cottonwood St
North Platte, NE 69101-6108
Phone
(308) 568-7456
NPI assigned
Mar 4, 2011
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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 1543 NE Primary

Addresses

Primary practice location

1115 S Cottonwood St
North Platte, NE 69101-6108

Mailing address

1115 S Cottonwood St
North Platte, NE 69101-6108
Phone (308) 568-7456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000035 NE Practitioner - Occupational Therapist in Private Practice 3274792130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Apr 8, 2018 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Go Physical Therapy, LLC PastSince Jan 1, 2012 Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients

Locations

300 E 12th St
Cozad, NE 69130
Phone (308) 784-2261

1115 S Cottonwood St
North Platte, NE 69101
Phone (308) 535-7456

215 McNeel Ln
North Platte, NE 69101
Phone (308) 534-6655

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1316245095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S COTTONWOOD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016108",
            "telephone_number": "308-568-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S COTTONWOOD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016108",
            "telephone_number": "308-568-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "MARCUS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.