Active NPI
Sarah Beth Douglas, OTR/L
- Occupational Therapist
- La Follette, TN
National Provider Identifier
1972847499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3508
- Practice address
- 136 Davis LN
La Follette, TN 37766-3118 - Phone
- (606) 524-0588
- Fax
- (423) 562-1055
- NPI assigned
- Nov 21, 2012
- Last updated
- Nov 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3508 | TN | Primary |
Addresses
Primary practice location
136 Davis LN
La Follette, TN 37766-3118
Mailing address
136 Davis LN
La Follette, TN 37766-3118
Phone (606) 524-0588
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 |
|---|---|---|---|
| 3508 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1972847499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 DAVIS LN",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377663118",
"telephone_number": "606-524-0588",
"fax_number": "423-562-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 DAVIS LN",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377663118",
"telephone_number": "606-524-0588",
"fax_number": "423-562-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "SARAH",
"middle_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Follette, TN
- Cumberland Gap Medical
- Samantha C. Davenport
- Ashley N Davis, COTA/L
- Murugesen Dhandapani, M.D.
- Sheila Joyce Dill
- Daniel W Durham
- East Tennessee Children's Primary Care Center, Inc. (Dolly Parton Children's Hospital LaFollette Pediatrics)
- Eastlake Medical, PLLC (Eastlake Urgent Care)
- Hannah Echols, FNP-C
- Greg Duane Edwards, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.