Jeffery Hatcher-Fagan II, MSOT, OTR/L, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4171 Issued in AL

Practice address

600 19TH St S
Birmingham, AL 35233

Phone

(205) 934-3201

NPI assigned

Mar 16, 2022

Sex

Male

Sole proprietor

No

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1598413684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 EDGEWOOD DR",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043250",
            "telephone_number": "205-937-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-934-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043250",
            "country_code": "US",
            "telephone_number": "205-937-3905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHER-FAGAN",
        "first_name": "JEFFERY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MSOT, OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "AL",
            "license": "4171",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin M Hastings, PA
• Amber M Hasty Mills, PSY.D.
• Felicia Rabey Hataway, MD
• Justin Boyd Hatch
• Robert Anthony Hatch, LCSW, PIP
• Helen A Hatcher, PHARM D
• Maria Elizabeth Hatcher
• Mary Moore Hatcher, PHARM.D.
• Robert Hatcher, PHARMD.
• Sarah Fleming Hatcher, ATC, DPT

• Occupational Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.