Christina M Douglas, OTD, MOT, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004751A Issued in IN

Practice address

4870 E Jackson St
Muncie, IN 47303-4432

Phone

(765) 254-9717

Fax

(765) 254-9739

NPI assigned

Jan 19, 2009

Last updated

Dec 16, 2019By the provider in NPPES

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

Locations

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.

• Indiana University Health Ball Memorial Hospital, Inc.

  • Pediatric Rehabilitation Medicine Physician
  • Muncie, IN
  • NPI 1073164646

  Occupational Therapist

  NPD
• Indiana University Health Ball Memorial Hospital, Inc.

  dba IU Health Pharmacy Jackson

  • Community/Retail Pharmacy
  • Muncie, IN
  • NPI 1073271698
  NPD

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1871730465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "address_2": "RCS PROVIDER ENROLLMENT",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "877-668-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-254-9717",
            "fax_number": "765-254-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTD, MOT, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004751A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L. Dornick, ARNP
• Michael A Dorsch, PA
• Layla Brielle Doss
• Jasmine Nowell Doucette
• Zane Doughty
• Robert M Dove, MD
• Mackenzie Dowd, BCBA
• Dr Christy a Osborne and Associates, PC
• Dr. Scott a Grasso DDS PC
• Katelyn Draper

• Occupational Therapist in Muncie, IN
• Providers in Muncie, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.