Active NPI
Elizabeth B. Dorough
- Occupational Therapist
- Helena, AL
National Provider Identifier
1790825263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1252
- Practice address
- 2022 English Oak Lane
Helena, AL 35080 - Phone
- (205) 936-2958
- NPI assigned
- Feb 7, 2007
- Last updated
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1252 | AL | Primary |
Addresses
Primary practice location
2022 English Oak Lane
Helena, AL 35080
Mailing address
2022 English Oak Lane
Helena, AL 35080
Phone (205) 963-2958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890019210 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1252 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1790825263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 ENGLISH OAK LANE",
"city": "HELENA",
"state": "AL",
"postal_code": "35080",
"telephone_number": "205-963-2958",
"fax_number": "205-936-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 ENGLISH OAK LANE",
"city": "HELENA",
"state": "AL",
"postal_code": "35080",
"telephone_number": "205-936-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOROUGH",
"first_name": "ELIZABETH",
"middle_name": "B.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "1252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890019210",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.