Active NPI
Dawn Alexandra Foss, MSOT, OTR/L
- Occupational Therapist
- Corvallis, OR
National Provider Identifier
1427097609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1070217
- Practice address
- 815 NW 9TH St
Suite180
Corvallis, OR 97330-6173 - Phone
- (541) 768-5157
- Fax
- (541) 768-5080
- NPI assigned
- Jun 5, 2006
- 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 | 1070217 | OR | Primary |
Addresses
Primary practice location
815 NW 9TH St
Suite180
Corvallis, OR 97330-6173
Mailing address
815 NW 9TH St
Suite180
Corvallis, OR 97330-6173
Phone (541) 768-5157
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026648000 | Other | OR | BCBS ID# |
| 022621 | Medicaid | OR | |
| B060408 | Other | OR | PACIFICSOURCE |
| 930838454 | Other | OR | TAX ID# |
| A004 | Other | OR | TRIWEST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1070217 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1427097609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 NW 9TH ST",
"address_2": "SUITE180",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306173",
"telephone_number": "541-768-5157",
"fax_number": "541-768-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 NW 9TH ST",
"address_2": "SUITE180",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306173",
"telephone_number": "541-768-5157",
"fax_number": "541-768-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "DAWN",
"middle_name": "ALEXANDRA",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1070217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID#",
"identifier": "026648000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022621",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICSOURCE",
"identifier": "B060408",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "930838454",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A004",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.