Active NPI
Douglas Albright, OT
- Occupational Therapist
- Traverse City, MI
National Provider Identifier
1972834463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007563
- Practice address
- 4110 Copper Ridge Dr
Ste 202
Traverse City, MI 49684 - Phone
- (231) 486-6138
- Fax
- (231) 486-6140
- NPI assigned
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201007563 | MI | Primary |
Addresses
Primary practice location
4110 Copper Ridge Dr
Ste 202
Traverse City, MI 49684
Mailing address
4110 Copper Ridge Dr
Ste 202
Traverse City, MI 49684
Phone (231) 486-6138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201007563 | Other | MI | OT LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007563 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function Rehabilitation | Occupational Therapist | Past | Accepting new patients |
| Acute Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Traverse City, MI
- NPI 1922542539
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1316099914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1972834463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 COPPER RIDGE DR",
"address_2": "STE 202",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-486-6138",
"fax_number": "231-486-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 COPPER RIDGE DR",
"address_2": "STE 202",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-486-6138",
"fax_number": "231-486-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBRIGHT",
"first_name": "DOUGLAS",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE NUMBER",
"identifier": "5201007563",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.