| Kim Douglas, | |
|
7830 Pine Forest Rd, Cottage A, Pensacola, FL 32526-8404 | |
| (850) 741-6715 | |
| (850) 204-0489 |
| Full Name | Kim Douglas |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 7830 Pine Forest Rd, Pensacola, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548785249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT10201 (Florida) | Primary |
| Provider Name | Action Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1548861602 PECOS PAC ID: 6305258013 Enrollment ID: O20201221002135 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Douglas, 922 E Bobe St, Pensacola, FL 32503-3962 Ph: (850) 741-6715 | Kim Douglas, 7830 Pine Forest Rd, Cottage A, Pensacola, FL 32526-8404 Ph: (850) 741-6715 |
Ashley Kelley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4406 N Davis Hwy, Pensacola, FL 32503 Phone: 850-743-4157 | |
Ms. Eileen S Maietta, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10100 Hillview Dr, Pensacola, FL 32514 Phone: 800-347-2264 | |
Kevin Sullivan, MOTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8325 University Pkwy, Pensacola, FL 32514 Phone: 850-898-8000 | |
Cherael Crenshaw, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10100 Hillview Dr, Pensacola, FL 32514 Phone: 850-478-5153 | |
Jennifer T Harrell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Suite 1405, Pensacola, FL 32504 Phone: 850-416-7340 Fax: 850-416-6799 | |
David Brant Thorn, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 S Palafox St, Suite 300, Pensacola, FL 32502 Phone: 850-433-1656 | |
Jo Rickard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10040 Hillview Dr, Pensacola, FL 32514 Phone: 850-474-0570 |