Individual provider Active NPI

Dawn M Ouma, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1790199388
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12467 Issued in NC
Practice address
8001 Waterford Lakes Dr
Apt 2314
Charlotte, NC 28210-7408
Phone
(704) 968-5412
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12467 NC Primary

Addresses

Primary practice location

8001 Waterford Lakes Dr
Apt 2314
Charlotte, NC 28210-7408

Mailing address

8001 Waterford Lakes Dr
Apt 2314
Charlotte, NC 28210-7408
Phone (704) 968-5412

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12467NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1790199388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 WATERFORD LAKES DR",
            "address_2": "APT 2314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107408",
            "telephone_number": "704-968-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 WATERFORD LAKES DR",
            "address_2": "APT 2314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107408",
            "telephone_number": "704-968-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUMA",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12467",
            "primary": true
        }
    ],
    "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 Jun 11, 2014; 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.