Active NPI
Rodney Douglas, OT
- Specialist
- Tampa, FL
National Provider Identifier
1811925720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT 2529
- Practice address
- 2215 E Henry Ave
Tampa, FL 33610-4432 - Phone
- (813) 239-1179
- Fax
- (813) 237-3091
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT 2529 | FL | Primary |
Addresses
Primary practice location
2215 E Henry Ave
Tampa, FL 33610-4432
Mailing address
2215 E Henry Ave
Tampa, FL 33610-4432
Phone (813) 239-1179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z4669 | Other | FL | BCBS |
| OT 2529 | Other | FL | OCCUPATIONAL THERAPY |
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 |
|---|---|---|---|
| OT 2529 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811925720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 E HENRY AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336104432",
"telephone_number": "813-239-1179",
"fax_number": "813-237-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 E HENRY AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336104432",
"telephone_number": "813-239-1179",
"fax_number": "813-237-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "RODNEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "OT 2529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z4669",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY",
"identifier": "OT 2529",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.