Priscilla Lynn Douglas, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9470 Issued in MA

Practice address

387 Quarry St Ste 102
Fall River, MA 02723

Phone

(508) 324-9300

Fax

(508) 324-9309

NPI assigned

May 18, 2007

Last updated

Feb 11, 2019By 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

• Ms. Priscilla Lynn Douglas Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LC Holbrook IncGroup PAC ID 6901903574, 6 clinicians

National Physical Therapy IncGroup PAC ID 5799717021, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LC Holbrook, Inc.

  dba National Physical Therapy

  • Physical Therapist
  • Holbrook, MA
  • NPI 1922129642
  Medicare reassignment Care Compare group NPD
• National Physical Therapy, Inc.

  dba National Physical Therapy

  • Physical Therapy Clinic/Center
  • Fall River, MA
  • NPI 1043316763
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1356559165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231026",
            "telephone_number": "508-324-9300",
            "fax_number": "508-324-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02723",
            "telephone_number": "508-324-9300",
            "fax_number": "508-324-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Bridge St",
            "address_purpose": "LOCATION",
            "city": "South Dartmouth",
            "state": "MA",
            "postal_code": "027483401",
            "country_code": "US",
            "telephone_number": "508-994-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "PRISCILLA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "DOUGLAS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doshi Mehta DDS PLLC
• Ruby Doshi, APRN
• Garima Dosi, MD
• Douaa M Girgis DMD PC
• Farrel Douglas, MD
• Joseph Dowling, DO
• Sharlene Downs
• Kevin Doyle, LADAC 1, CADAC
• Thomas J. Doyle, MD
• Kimberly Ryan Doyon

• Physical Therapist in Fall River, MA
• Providers in Fall River, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.