Active NPI
Teresa Fair-Field, OT
- Occupational Therapist
- Redmond, WA
National Provider Identifier
1083758494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00002166
- Practice address
- 16150 NE 85TH St
Ste. #220
Redmond, WA 98052-3539 - Phone
- (425) 558-0558
- Fax
- (425) 526-5535
- NPI assigned
- Feb 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OT00002166 | WA | Primary |
Addresses
Primary practice location
16150 NE 85TH St
Ste. #220
Redmond, WA 98052-3539
Mailing address
16150 NE 85TH St
Ste. #220
Redmond, WA 98052-3539
Phone (425) 558-0558
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| US2308961 | Other | WA | AETNA SPECIALIST PIN |
| 0039584 | Other | WA | LABOR AND INDUSTRIES # |
| 8394595 | Medicaid | WA | |
| FA2971 | Other | WA | BLUE SHIELD # |
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 |
|---|---|---|---|
| OT00002166 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandbox Therapy Group, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1083758494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST",
"address_2": "STE. #220",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523539",
"telephone_number": "425-558-0558",
"fax_number": "425-526-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST",
"address_2": "STE. #220",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523539",
"telephone_number": "425-558-0558",
"fax_number": "425-526-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR-FIELD",
"first_name": "TERESA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-18",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00002166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN",
"identifier": "US2308961",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039584",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8394595",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "FA2971",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.