Lawrence Wayne Faulkner, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19498 Issued in FL

Practice address

1908 Fabien Cir
Melbourne, FL 32940-6781

Phone

(321) 300-2178

NPI assigned

Sep 16, 2019

Last updated

Dec 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FCHR PA

  dba Four Corners Health & Rehabilitation

  • Physical Therapist
  • Clermont, FL
  • NPI 1760427975
  NPD (past)
• Mobility Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1154757342
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1427608116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FABIEN CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406781",
            "telephone_number": "321-300-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 FABIEN CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406781",
            "telephone_number": "321-300-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "LAWRENCE",
        "middle_name": "WAYNE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102994",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn-Z Farmer
• Rehan Ahmad Farooqui, MD
• Kevonne Farquharson
• Charles A Farrington, MD
• Jack Adam Fasteen
• Jennifer Favino-Sher, SLP
• Anita Fazeli, DO
• John A. Fazio
• Fcid Medical, Inc.
• Robyn Feaganes

• Occupational Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.