Laura Marie Faine, OT
Individual provider Active NPI Occupational Therapist · Fostoria, OH
NPI 1154739795 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1154739795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT008708 (OH)
- Practice address
- 455 W 4TH St Ste 10
Fostoria, OH 44830-1864 - Phone
- (419) 436-8320
- Fax
- (419) 436-8325
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fostoria Hospital Association
Practice addresses (Care Compare)
455 W 4TH St
Suite 010
Fostoria, OH 44830-1849
Phone (419) 436-8320
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140930001209 | OH | Practitioner - Occupational Therapist in Private Practice | 3678793411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008708 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fostoria Hospital Association | Current |
Accepting new patients | |
| Fostoria Hospital Association | Past |
Accepting new patients |
Locations
455 W 4th St
Ste 10
Fostoria, OH 44830
Phone (419) 436-8320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008708 | OH | Yes |
Addresses
Primary practice location
455 W 4TH St Ste 10
Fostoria, OH 44830-1864
Mailing address
455 W 4TH St Ste 10
Fostoria, OH 44830-1864
Phone (419) 436-8320
Other providers in Fostoria, OH
- Megan Eddington
- Kelly Edwards
- Lauren Ekleberry
- Emergency Physicians of Northwest Ohio, LLC
- Angela Etter
- Danielle Ferguson
- Adam Wesley Flugga
- Fostoria Al Opco LLC
- Fostoria Alcohol/Drug Center
- Fostoria City Office of Auditor
All providers in Fostoria, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.