Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Derek Anthony Douglas

Individual provider Occupational Therapist · NPI 1740759349

Mr. Derek Anthony Douglas is an Occupational Therapist in Private Practice in Brandywine, Maryland. Qualified in 2018, 8 years ago. Practices with Fox Rehabilitation Services of South Carolina, LLC, a 293-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
8
Licensed in
MD, VA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone: (301) 782-2250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 21585 Peabody St, Leonardtown, MD 20650-2955 — (301) 752-1809
  • 3165 Crain Hwy Ste 100, Waldorf, MD 20603-4847 — (301) 885-2500

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 08644 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 0119007931 (VA)

Record details

NPI number1740759349
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address1603 Clarion Ter, Fort Washington, MD 20744-2819

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fox Rehabilitation Services Of South Carolina, Llc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brandywine