Active NPI
Jacqueline Doyle
- Occupational Therapist
- Columbia, MD
National Provider Identifier
1861036915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09154
- Practice address
- 9256 Bendix Rd # 105-106
Columbia, MD 21045-1840 - Phone
- (000) 000-0000
- NPI assigned
- Nov 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5710 | SC | |
| Occupational Therapist | 225X00000X | 09154 | MD | Primary |
Addresses
Primary practice location
9256 Bendix Rd # 105-106
Columbia, MD 21045-1840
Mailing address
9256 Bendix Rd # 105-106
Columbia, MD 21045-1840
Phone (410) 796-8499
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 |
|---|---|---|---|
| 09154 | MD | MD | Clinical Social Worker |
| 5710 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1861036915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9256 BENDIX RD # 105-106",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451840",
"telephone_number": "410-796-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9256 BENDIX RD # 105-106",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451840",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2024-03-25",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5710",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.