Active NPI
Julia Anne Fawcett, O.T.
- Occupational Therapist
- Stevensville, MT
National Provider Identifier
1649435397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1048
- Practice address
- 63 Main St
Stevensville, MT 59870-2122 - Phone
- (406) 777-5411
- Fax
- (406) 777-5856
- NPI assigned
- Jul 22, 2008
- 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 | 1048 | MT | Primary |
Addresses
Primary practice location
63 Main St
Stevensville, MT 59870-2122
Mailing address
63 Main St
Stevensville, MT 59870-2122
Phone (406) 777-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1048 | Other | MT | OCCUPATIONAL THERAPIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1048 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1649435397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MAIN ST",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702122",
"telephone_number": "406-777-5411",
"fax_number": "406-777-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MAIN ST",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702122",
"telephone_number": "406-777-5411",
"fax_number": "406-777-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT",
"first_name": "JULIA",
"middle_name": "ANNE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "1048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "1048",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.