Active NPI
Carol Jeanette Faro, OT
- Occupational Therapist
- Richardson, TX
National Provider Identifier
1376826958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110645
- Practice address
- 510 N Coit Rd Ste 2035
Richardson, TX 75080-5437 - Phone
- (972) 437-2048
- Fax
- (972) 480-8514
- NPI assigned
- Sep 21, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110645 | TX | Primary |
Addresses
Primary practice location
510 N Coit Rd Ste 2035
Richardson, TX 75080-5437
Mailing address
2901 Rush Creek Rd
McKinney, TX 75070-7222
Phone (214) 726-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110645 | Other | TX | STATE LICENSE |
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 |
|---|---|---|---|
| 110645 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1376826958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 RUSH CREEK RD",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750707222",
"telephone_number": "214-726-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N COIT RD STE 2035",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805437",
"telephone_number": "972-437-2048",
"fax_number": "972-480-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARO",
"first_name": "CAROL",
"middle_name": "JEANETTE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "110645",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.