Organization Active NPI

Fourt Therapy Center LLC

  • Pediatric Occupational Therapist
  • Menlo Park, CA
National Provider Identifier
1285751636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1779 Issued in CA
Legal business name
FOURT THERAPY CENTER LLC
Practice address
849 Menlo Ave
Menlo Park, CA 94025-4728
Phone
(650) 323-0805
Fax
(650) 323-5262
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Barbara Fourt, MA, OTR
Title
Director
Phone
(650) 321-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 1779 CA Primary

Addresses

Primary practice location

849 Menlo Ave
Menlo Park, CA 94025-4728

Mailing address

849 Menlo Ave
Menlo Park, CA 94025-4728
Phone (650) 323-0805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285751636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 MENLO AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254728",
            "telephone_number": "650-323-0805",
            "fax_number": "650-323-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 MENLO AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254728",
            "telephone_number": "650-323-0805",
            "fax_number": "650-323-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURT THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOURT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-321-4020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.