Active NPI
Douglas J Thomas, OTR L CHT
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1477513406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1166
- Practice address
- 1915 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (980) 339-2405
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1166 | NC | Primary |
| Hand Occupational Therapist | 225XH1200X | 9511000330 | CA |
Addresses
Primary practice location
1915 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
PO Box 5291
Concord, NC 28027-1504
Phone (980) 339-2405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9511000330 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hand and Rehab LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1003147372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1477513406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5291",
"city": "CONCORD",
"state": "NC",
"postal_code": "280271504",
"telephone_number": "980-339-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "980-339-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "OTR L CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1166",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "9511000330",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.