Jillian Douglass, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Copley, OH
NPI 1477085710 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1477085710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT007734 (OH)
- Practice address
- 30 Rothrock Loop
Ste B
Copley, OH 44321-1331 - Phone
- (330) 666-2228
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007734 | OH | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007734 | OH | Yes |
Addresses
Primary practice location
30 Rothrock Loop
Ste B
Copley, OH 44321-1331
Mailing address
716 Redstone Cir
Brunswick, OH 44212-4354
Phone (440) 554-6180
Other providers in Copley, OH
- Robert Mark Daye
- Krista Ann Delatore
- Discount Drug Mart Inc
- Disha Hadi Pennington DDS LLC
- Andrea Dixon
- Cammeron William Drager
- Darlene Ducksworth
- Salima R. Dunn
- Regina Edmondson
- Empowered Transit LLC
All providers in Copley, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.