Individual provider Active NPI

Jana Fuxa, OT

  • Occupational Therapist
  • Mesquite, TX
National Provider Identifier
1639469430
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110616 Issued in TX
Practice address
1650 Republic Pkwy
Suite 103
Mesquite, TX 75150-6916
Phone
(972) 698-1140
Fax
(972) 681-8753
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110616 TX Primary

Addresses

Primary practice location

1650 Republic Pkwy
Suite 103
Mesquite, TX 75150-6916

Mailing address

2145 US Highway 80 E
Apt 305
Mesquite, TX 75150-5558
Phone (214) 957-4561

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110616TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1639469430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 US HIGHWAY 80 E",
            "address_2": "APT 305",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505558",
            "telephone_number": "214-957-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 REPUBLIC PKWY",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506916",
            "telephone_number": "972-698-1140",
            "fax_number": "972-681-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUXA",
        "first_name": "JANA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.