Active NPI
Christine Danielle Fata, OTR/L
- Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1083276067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119915
- Practice address
- 100 N University Dr
Fort Worth, TX 76107-1360 - Phone
- (817) 814-2000
- NPI assigned
- Jul 1, 2019
- Last updated
- Jul 1, 2019
- 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 | 119915 | TX | Primary |
Addresses
Primary practice location
100 N University Dr
Fort Worth, TX 76107-1360
Mailing address
3017 Ponder Path
Keller, TX 76248-1201
Phone (817) 891-2273
Other practice location 1
5855 Milton St
Dallas, TX 75206-4202
Phone (469) 310-1700
Other practice location 2
5555 Arapaho Rd
Dallas, TX 75248-3442
Phone (469) 620-4260
Other names 1
- Ms. Christine Danielle Fata
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119915 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1083276067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 PONDER PATH",
"city": "KELLER",
"state": "TX",
"postal_code": "762481201",
"telephone_number": "817-891-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N UNIVERSITY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071360",
"telephone_number": "817-814-2000"
}
],
"practiceLocations": [
{
"address_1": "5855 Milton St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752064202",
"country_code": "US",
"telephone_number": "469-310-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 Arapaho Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752483442",
"country_code": "US",
"telephone_number": "469-620-4260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FATA",
"first_name": "CHRISTINE",
"middle_name": "DANIELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "FATA",
"middle_name": "DANIELLE",
"prefix": "MS.",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.