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NPI 1982436101ActiveIndividual· Occupational Therapist· Dothan, AL

Occupational Therapist in Dothan, Alabama, trained at Lincoln Memorial University Medical Department (class of 2024). Enrolled in Medicare as practitioner - occupational therapist in private practice.

Overview

NPI1982436101
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 16, 2024
Last updated in NPPESJun 26, 2026
Certified by providerJun 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X6444AL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Occupational Therapist in Private Practice (AL)

Medicare sources and data years

Education and affiliations

Medical schoolLincoln Memorial University Medical Department
Graduation year2024
Medicare specialtyOccupational Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other occupational therapists in Dothan

All 32 occupational therapists in Dothan · All occupational therapists in Alabama