Susan Dale Doyle, B.O.T., M.SC. PH.D.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00001975 Issued in WA

Practice address

3305 Main St Ste 304
Vancouver, WA 98663-2251

Phone

(360) 723-5145

Fax

(360) 282-6863

NPI assigned

Mar 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1326389503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 304",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632251",
            "telephone_number": "360-723-5145",
            "fax_number": "360-282-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 304",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632251",
            "telephone_number": "360-723-5145",
            "fax_number": "360-282-6863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 W MAIN ST",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044318",
            "country_code": "US",
            "telephone_number": "360-723-5145",
            "fax_number": "360-282-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SUSAN",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "B.O.T., M.SC. PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "WA",
            "license": "OT00001975",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "986704",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00001975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072895",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdoyle@otlifestylesolutions.com",
            "affiliation": "N",
            "endpointDescription": "provider business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3305 Main St Ste 304",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986632251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spring Angela Dowse, MSW
• Allen Edward Doyle, M.D.
• Catherine A Doyle
• Kristen R Doyle, LICSW
• Sally Elizabeth Doyle, MD
• Dozark Health and Wellness Inc
• Janelle Dozark, LMP
• Jason Dozark, D.C.
• Dr Angela Knapp ND
• Dr Gary R Winebrenner, PC (Healthy Life Clinic)

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.