Erin Lynn Fong

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

119358 Issued in IA

Practice address

3485 Windsor Ave
Dubuque, IA 52001-1312

Phone

(563) 557-7180

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356041446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 BREAKER COVE DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487088817",
            "telephone_number": "989-746-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011312",
            "telephone_number": "563-557-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IA",
            "license": "119358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Flowers II
• Brianna Flynn, BCBA
• Daniel B. Focht, O.T.
• Jeffrey D Fogle, M.D.
• Jonathan Stephen Foht, PT
• Mark Wilbur Fortson, M.D.
• Fountain Chiropractic Clinic, Inc.
• Brenda Foust, RPH
• Sydney Marie Fox, ARNP
• Paige Frahm

• Physical Rehabilitation Occupational Therapist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Physical Rehabilitation Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.