Active NPI
Erica J Fahrner
- Pediatric Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1326288929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2001018129
- Practice address
- 6022 S. Lindbergh, Suite 100
Saint Louis, MO 63123 - Phone
- (314) 845-7751
- NPI assigned
- Feb 23, 2009
- Last updated
- Dec 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2001018129 | MO | Primary |
Addresses
Primary practice location
6022 S. Lindbergh, Suite 100
Saint Louis, MO 63123
Mailing address
6634 Lindenwood PL
#1
Saint Louis, MO 63109-1222
Phone (314) 283-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001018129 | MO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P.S. Kids, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1326288929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6634 LINDENWOOD PL",
"address_2": "#1",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091222",
"telephone_number": "314-283-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6022 S. LINDBERGH, SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63123",
"telephone_number": "314-845-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHRNER",
"first_name": "ERICA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2001018129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.