Active NPI
Faye Colella
- Occupational Therapist
- Decatur, AL
National Provider Identifier
1043435753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2214
- Practice address
- 922 6TH Ave SE
Decatur, AL 35601-3907 - Phone
- (256) 309-0454
- Fax
- (256) 309-0422
- NPI assigned
- Apr 16, 2007
- 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 | 2214 | AL | Primary |
Addresses
Primary practice location
922 6TH Ave SE
Decatur, AL 35601-3907
Mailing address
18344 Rocky Hill LN
Athens, AL 35613-5643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2214 | Other | AL | OT LICENSE |
| 515-93473 | Other | AL | BCBS |
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 |
|---|---|---|---|
| 2214 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1043435753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18344 ROCKY HILL LN",
"city": "ATHENS",
"state": "AL",
"postal_code": "356135643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 6TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013907",
"telephone_number": "256-309-0454",
"fax_number": "256-309-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLA",
"first_name": "FAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "2214",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "515-93473",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.