Active NPI
Michael Andrew Fador II, OT
- Occupational Therapist
- Saint Clairsville, OH
National Provider Identifier
1124738901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2059
- Practice address
- 107 Broad St
Saint Clairsville, OH 43950-1604 - Phone
- (740) 630-6251
- NPI assigned
- Dec 1, 2022
- Sex
- Male
- 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 | 2059 | WV | Primary |
Addresses
Primary practice location
107 Broad St
Saint Clairsville, OH 43950-1604
Mailing address
107 Broad St
Saint Clairsville, OH 43950-1604
Phone (740) 630-6251
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 |
|---|---|---|---|
| 2059 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1124738901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BROAD ST",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439501604",
"telephone_number": "740-630-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 BROAD ST",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439501604",
"telephone_number": "740-630-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADOR",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_suffix": "II",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "2059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clairsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.