Ivona Boqumila Doberstein, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007471 Issued in GA

Practice address

68 Breezy Valley Connector
Hiram, GA 30141-3054

Phone

(724) 816-1800

Fax

(865) 951-7273

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1477825834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-393-5168",
            "fax_number": "865-951-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BREEZY VALLEY CONNECTOR",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413054",
            "telephone_number": "724-816-1800",
            "fax_number": "865-951-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBERSTEIN",
        "first_name": "IVONA",
        "middle_name": "BOQUMILA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2023-08-22",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Deloach, PHARMD
• Carrie N Deloughy, FNP
• Shantel Dennis
• Stacie Denson, APRN
• Divinequest Corporation
• Netasha Lashay Dodd, MD
• Joanna Dolgoff, M.D.
• James Robert Donley, OTRL
• Precious Douse
• Tara Dozier

• Occupational Therapist in Hiram, GA
• Providers in Hiram, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.