Mary Douglas, OTRL, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003831 Issued in WA

Practice address

1112 Caroline St
Port Angeles, WA 98362-4204

Phone

(360) 417-8630

Fax

(360) 417-8635

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22724/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Bone & Joint Surgery LTD

  dba The Center for Bone & Joint Surgery

  • Orthopaedic Surgery Physician
  • Port Angeles, WA
  • NPI 1619921863
  NPD (past)
• Strait Occupational &Hand Therapy

  • Hand Occupational Therapist
  • Port Angeles, WA
  • NPI 1659429983
  NPD (past)
• California Sports Physical Therapy Centers Inc

  dba Albany Physical Therapy

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965
  NPD (past)
• Idaho Hand & Upper Extremity Therapy DME

  • Durable Medical Equipment & Medical Supplies
  • Coeur d'Alene, ID
  • NPI 1710226220
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1891842274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624204",
            "telephone_number": "360-417-8630",
            "fax_number": "360-417-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624204",
            "telephone_number": "360-417-8630",
            "fax_number": "360-417-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MARY",
        "credential": "OTRL, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003831",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00003831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0304760",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8399149",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Doherty, LDO
• Kisha D Donaldson
• Reynold Drew Donovan, D.D.S.
• Janelle Margaret Doolittle, ND
• Laura Lea Dotlich, RN BSN
• Kelly C Dowell, BA
• Dacia Doyle, RN
• Lance William Doyle, RN
• Dr Adam Cramer PLLC (Laurel Dental Clinic)
• Olga Drogomiretskiy

• Occupational Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.