Tessa D Forthaus, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005056 Issued in MO

Practice address

1393 Bowles Ave
Fenton, MO 63026-2355

Phone

(636) 326-9606

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Theresa D Forthaus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1114401213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KERRUISH PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193001",
            "telephone_number": "314-452-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262355",
            "telephone_number": "636-326-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTHAUS",
        "first_name": "TESSA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "005056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "FORTHAUS",
            "middle_name": "D",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Fizer, DPT
• Rachel Flick, FNP-C
• Kaylee Foeste, LMSW
• Andrea Ford, DPT
• Melanie Ford, MA, PLPC
• Lawrence W Fournier Jr., CRNA
• Stacy Fowler, LMSW
• Margaret Marie Freihaut, DC
• Dawn Rochelle French, OTR
• FRG RLT Holdings, Inc. (St Joseph Obstetrics and Gynecology)

• Occupational Therapist in Fenton, MO
• Providers in Fenton, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.