Active NPI
Fourt Therapy Center LLC
- Pediatric Occupational Therapist
- Menlo Park, CA
National Provider Identifier
1285751636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1779
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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 DirectoryNPI 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.