Active NPI
Katie M Fusco, OTR/L
- Occupational Therapist
- Charlottesville, VA
National Provider Identifier
1649625922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1102 Rose Hill Dr
Charlottesville, VA 22903-5128 - Phone
- (434) 979-8628
- Fax
- (434) 979-8536
- NPI assigned
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1102 Rose Hill Dr
Charlottesville, VA 22903-5128
Mailing address
289 Turkey Ridge Rd
Charlottesville, VA 22903-9727
Phone (434) 825-2719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119007036 | Other | VA | STATE LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susy Russell Physical Therapy LLC | Past | Accepting new patients | |
| The Charleston Center, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Charlottesville, VA
- NPI 1902161672
-
- Rehabilitation Clinic/Center
- Charlottesville, VA
- NPI 1427150630
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1649625922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 TURKEY RIDGE RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229039727",
"telephone_number": "434-825-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 ROSE HILL DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035128",
"telephone_number": "434-979-8628",
"fax_number": "434-979-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSCO",
"first_name": "KATIE",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "119007036",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.