Active NPI
Fernan Lance Pasco Oconer, DPT, RPT
- Physical Therapist
- Great Falls, VA
National Provider Identifier
1447935069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29288
- Practice address
- 1131 Walker Rd
Great Falls, VA 22066-1816 - Phone
- (703) 223-5226
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29288 | MD | Primary |
Addresses
Primary practice location
1131 Walker Rd
Great Falls, VA 22066-1816
Mailing address
6309 Farmview CT
Clinton, MD 20735-2600
Phone (171) 830-7924
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Falls Geriatric Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Great Falls, VA
- NPI 1164019162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1447935069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6309 FARMVIEW CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352600",
"telephone_number": "171-830-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 WALKER RD",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220661816",
"telephone_number": "703-223-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONER",
"first_name": "FERNAN LANCE",
"middle_name": "PASCO",
"credential": "DPT, RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.