Douglas G Fosco, MOT, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

18508 Issued in CA

Practice address

3418 Loma Vista Rd Ste a
Ventura, CA 93003-3015

Phone

(805) 765-4773

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Two Trees Physical Therapy and Wellness IncGroup PAC ID 5597915603, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1770830325
  Medicare reassignment Care Compare group NPD
• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1205453305

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1306118336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COFFEE RD STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553164",
            "telephone_number": "209-576-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033015",
            "telephone_number": "805-765-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 N Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936119206",
            "country_code": "US",
            "telephone_number": "559-321-8162",
            "fax_number": "559-472-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSCO",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "MOT, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-009640",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Force, MA
• Lucy K. Ford, LCSW
• Megan Linnea Forgie
• Jill Forman, RN
• Christopher Fosco, MD
• Melissa Christine Foster
• Kimberly Andre Fouche, LMFT
• Benjamin Luke Swivel Fowler, MD
• Veronica Fowler, PPS
• Cheryl Peyton Fox, MSW

• Occupational Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.