Active NPI
Nathan Fouts, OTR
- Occupational Therapist
- Alliance, NE
National Provider Identifier
1659537686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1143
- Practice address
- 2101 Box Butte Ave
Alliance, NE 69301-4445 - Phone
- (308) 761-3372
- NPI assigned
- Jul 29, 2008
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1143 | NE | Primary |
Addresses
Primary practice location
2101 Box Butte Ave
Alliance, NE 69301-4445
Mailing address
408 Grand Ave
Alliance, NE 69301-3551
Phone (940) 256-1733
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 |
|---|---|---|---|
| 1143 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1659537686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 GRAND AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693013551",
"telephone_number": "940-256-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 BOX BUTTE AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693014445",
"telephone_number": "308-761-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUTS",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.