Individual provider Active NPI

Barbara Maureen Fossen, MOT, OTR/L

  • Occupational Therapist
  • Missoula, MT
National Provider Identifier
1376844431
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1137 Issued in MT
Practice address
3055 N Reserve St Ste D
Missoula, MT 59808-1395
Phone
(406) 327-1827
Fax
(406) 327-1697
NPI assigned
Nov 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 60099117 WA
Occupational Therapist 225X00000X 1137 MT Primary

Addresses

Primary practice location

3055 N Reserve St Ste D
Missoula, MT 59808-1395

Mailing address

3055 N Reserve St Ste D
Missoula, MT 59808-1395
Phone (406) 327-1827

Other practice location 1

2905 Connelly Ave
Bellingham, WA 98225-8225
Phone (360) 734-4181

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1137MTMDAddiction (Substance Use Disorder) Counselor
60099117WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1376844431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 N RESERVE ST STE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081395",
            "telephone_number": "406-327-1827",
            "fax_number": "406-327-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 N RESERVE ST STE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081395",
            "telephone_number": "406-327-1827",
            "fax_number": "406-327-1697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2905 Connelly Ave",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982258225",
            "country_code": "US",
            "telephone_number": "360-734-4181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSSEN",
        "first_name": "BARBARA",
        "middle_name": "MAUREEN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60099117",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.