Mariah Dolbow, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213974 Issued in TX

Practice address

87 Ih 10 N Ste 225
Beaumont, TX 77707-2549

Phone

(409) 835-0228

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1548718992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HUDSON RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402111",
            "telephone_number": "330-554-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 IH 10 N STE 225",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072549",
            "telephone_number": "409-835-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBOW",
        "first_name": "MARIAH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213974",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "05959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Diane Dixson, CCC-SLP
• Jessica Sue Dobson, OTR
• Doctors Express of the Beaumont Area PA
• Joe Dewayne Dodd Jr., FNP
• Lisa Michelle Doguet, MD
• Jackson Dolce, OD
• Charles Chester Domingues, M.D.
• Kayla Dominguez, PA
• Dominique J Beaudry MD PA
• Stacy Dominy, APRN, FNP-C

• Occupational Therapy Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.