Active NPI
Douglas J Lauber, OTR/L,CHT
- Hand Occupational Therapist
- Clemson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1051100620
- Practice address
- 501 Forest LN
Suite a
Clemson, SC 29631-2621 - Phone
- (864) 654-2001
- Fax
- (800) 305-7112
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 2970 | SC | |
| Hand Occupational Therapist | 225XH1200X | 1051100620 | SC | Primary |
Addresses
Primary practice location
501 Forest LN
Suite a
Clemson, SC 29631-2621
Mailing address
501 Forest LN
Suite a
Clemson, SC 29631-2621
Phone (864) 654-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1874 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11091 N Radio Station Rd
Seneca, SC 29678-1142
Phone (864) 654-2001
1664 E Main St
Easley, SC 29640-3790
Phone (864) 654-2001
501 Forest LN
Suite a
Clemson, SC 29631-2621
Phone (864) 654-2001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2970 | SC | MD | General Practice Dentistry |
| 1051100620 | SC | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation and Sports | Occupational Therapist | Current | Accepting new patients |
| Excel Rehabilitation and Sports | Current | Accepting new patients |
Locations
501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001
1664 E Main St
Easley, SC 29640
Phone (864) 654-2001
103 Halton Rd
#B
Greenville, SC 29607
Phone (864) 336-8599
11091 N Radio Station Rd
Seneca, SC 29678
Phone (864) 654-2001
Organizations & group practices 2
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.
-
dba Excel Rehabilitation and Sports Enhancement LLC
- Physical Therapist
- Clemson, SC
- NPI 1740358324
Occupational Therapist
-
dba Accelerated Physical Therapy
- Physical Therapist
- Greenville, SC
- NPI 1952272379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1669569190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FOREST LN",
"address_2": "SUITE A",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312621",
"telephone_number": "864-654-2001",
"fax_number": "800-305-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FOREST LN",
"address_2": "SUITE A",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312621",
"telephone_number": "864-654-2001",
"fax_number": "800-305-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBER",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "OTR/L,CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2970",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "SC",
"license": "1051100620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1874",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.