Individual provider Active NPI

Margo E Faron, OTR/L

  • Occupational Therapist
  • Brush Prairie, WA
National Provider Identifier
1376797969
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 60575891 Issued in WA
Practice address
11104 NE 149TH St
Brush Prairie, WA 98606-9565
Phone
(360) 885-5300
NPI assigned
Nov 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 010382-1 NY
Occupational Therapist 225X00000X OT 60575891 WA Primary

Addresses

Primary practice location

11104 NE 149TH St
Brush Prairie, WA 98606-9565

Mailing address

2111 NW 10TH Way
Battle Ground, WA 98604-4260
Phone (607) 765-4696

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

LicenseStateTypeSpecialty
010382-1NYMDOccupational Therapist
OT 60575891WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1376797969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NW 10TH WAY",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044260",
            "telephone_number": "607-765-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 NE 149TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069565",
            "telephone_number": "360-885-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARON",
        "first_name": "MARGO",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010382-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60575891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush Prairie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.