Individual provider Active NPI

Douglas Albright, OT

  • Occupational Therapist
  • Traverse City, MI
National Provider Identifier
1972834463
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007563 Issued in MI
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

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5201007563OtherMIOT 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

LicenseStateTypeSpecialty
5201007563MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.