Kimberly A. Macdougall, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14570 Issued in FL

Practice address

7720 US Highway 98 W
Suite 220
Miramar Beach, FL 32550-7230

Phone

(850) 622-5192

Fax

(850) 622-5196

NPI assigned

Aug 17, 2006

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body Owners Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Apopka, FL
  • NPI 1720151723
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1679687891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W",
            "address_2": "SUITE 220",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507230",
            "telephone_number": "850-622-5192",
            "fax_number": "850-622-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W",
            "address_2": "SUITE 220",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507230",
            "telephone_number": "850-622-5192",
            "fax_number": "850-622-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "14570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emery L Lovehardt
• Low T Center (Miramar Family Medicine)
• Da-Yema Micarla Lowe, PMHNP
• Michelle L. Lowe, D.O.
• Charlee Roberta Macdermott
• Jennifer Susan Mahoney, BCBA
• Brandon Joel Majerus, CRNA
• Samantha J Marr, PA-C
• Hal Fredrick Martens, D.O.
• Amelia Fromherz Martin, M.D.

• Occupational Therapist in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.