MARY DOUGLAS (NPI# 1891842274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891842274 |
| Entity Type | Individual |
| Full Name | MARY DOUGLAS |
| Credential | OTRL, CHT |
| Practice Address |
1112 Caroline St Port Angeles WA 98362-4204 |
| Practice Telephone | 3604178630 |
| Practice Fax Number | 3604178635 |
| Mailing Telephone | 3604178630 |
| Mailing Fax Number | 3604178635 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT00003831 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT00003831 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0304760 | 01 |
| WA | 8399149 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316257066 | Mary Afton Douglas | Massage Therapist | 600 A Madison Street, Huntsville, AL 35801 | 2010-10-15 |
| 1124359393 | Mary Abigail Douglas | Counselor | 5309 Village Creek Dr, Suite 103, Plano, TX 75093-4841 | 2010-01-27 |
| 1114928637 | Mary Kathryn Douglas | Physician Assistant | 5015 N Royal Dr, Traverse City, MI 49684-9292 | 2005-08-09 |
| 1053925479 | Mary Douglas | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-09-02 |
| 1982123857 | Mary Elizabeth Douglas | Nutritionist | 15965 Ne 85th St Ste 102, Redmond, WA 98052-3593 | 2017-09-12 |
| 1942736228 | Mary Douglas | Community Health Worker | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2017-05-05 |
| 1801332481 | Mary E Douglas | Perfusionist | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 | 2017-01-06 |
| 1730436098 | Mary E Douglas | Social Worker | 3043 State Route 4, Hudson Falls, NY 12839-9632 | 2012-08-06 |
| 1801921978 | Mary Kathyn Douglas | Speech-Language Pathologist | 1901 E Hamilton St, Kirksville, MO 63501-3904 | 2007-02-22 |
| 1861545543 | Mary Douglas | Pharmacist | 200 Westage Business Ctr Dr, Fishkill, NY 12524-2264 | 2007-01-18 |
| Street Address |
1112 CAROLINE ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294055 | Pamela Hastings | Occupational Therapist | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-05-19 |
| 1871655738 | Strait Orthopedic Specialists | Orthopaedic Surgery | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-12-15 |
| 1679635536 | Strait Orthopedic Specialists,ps | Occupational Therapist | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-12-15 |
| 1457376873 | Mark D Fischer | Internal Medicine | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588870174 | Nancy Jane Johns | Occupational Therapist | 229 E 1st St, Port Angeles, WA 98362-2904 | 2007-05-14 |
| 1346294055 | Pamela Hastings | Occupational Therapist | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-05-19 |
| 1588640320 | Therapeutic Associates Inc | Occupational Therapist | 1108 E 1st St, Port Angeles, WA 98362-4317 | 2005-12-22 |
| 1659709582 | Rebecca Burcham | Occupational Therapist | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2013-11-01 |
| 1811238348 | Laura Ann Kennedy | Occupational Therapist | 708 S Race St, Suite D, Port Angeles, WA 98362-6441 | 2013-03-07 |
| 1700122371 | Elena Skye Eastman | Occupational Therapist | 719 W 6th St, Port Angeles, WA 98363-5829 | 2012-12-29 |
| 1407191844 | Julie Vanantwerp | Occupational Therapist | 216 E 4th St, Port Angeles, WA 98362-3200 | 2012-12-11 |
| 1255538047 | Katie Irvin | Occupational Therapist | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2007-06-27 |
| 1245436005 | Amber Han Men | Occupational Therapist | 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640 | 2007-06-26 |
| 1730385311 | Autumn Stites | Occupational Therapist | 825 E 5th St, Port Angeles, WA 98362-3818 | 2007-06-21 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.