Individual provider Active NPI

Katharina Faerber

  • Occupational Therapist
  • Fountain Inn, SC
National Provider Identifier
1043729577
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5058 Issued in SC
Practice address
204 Shady Pines CT
Fountain Inn, SC 29644-9785
Phone
(864) 408-9509
NPI assigned
Sep 27, 2017
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5058 SC Primary

Addresses

Primary practice location

204 Shady Pines CT
Fountain Inn, SC 29644-9785

Mailing address

1160 Shoreham Rd
Charleston, SC 29412-9364
Phone (404) 808-0333

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

LicenseStateTypeSpecialty
5058SCMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1043729577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 SHOREHAM RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129364",
            "telephone_number": "404-808-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHADY PINES CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449785",
            "telephone_number": "864-408-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAERBER",
        "first_name": "KATHARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.