James Patrick Foster, JAMES FOSTER, OTR/L
Individual provider Active NPI Specialist · Kea'Au, HI
NPI 1194924845 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1194924845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OT-517 (HI)
- Practice address
- 15-1612 3Rd Ave
Kea'Au, HI 96749-0000 - Phone
- (808) 557-6674
- Fax
- (808) 966-9224
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250424000728 | HI | Practitioner - Occupational Therapist in Private Practice | 2567988421 | Practice locations: Keaau, HI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-517 | HI | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT-517 | HI | Yes |
Addresses
Primary practice location
15-1612 3Rd Ave
Kea'Au, HI 96749-0000
Mailing address
HC 2 Box 9605
Keaau, HI 96749-9332
Phone (808) 557-6674
Other providers in Kea'Au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.