Individual provider Active NPI

Faith Clarin Teague, O.T.

  • Occupational Therapist
  • Covington, LA
National Provider Identifier
1699008631
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT200154 Issued in LA
Practice address
330 Falconer Dr Ste D-F
Covington, LA 70433-8210
Phone
(985) 805-2555
Fax
(985) 400-5303
NPI assigned
Sep 9, 2009
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 OTT200154 LA Primary

Addresses

Primary practice location

330 Falconer Dr Ste D-F
Covington, LA 70433-8210

Mailing address

PO Box 1609
Chalmette, LA 70044-1609
Phone (985) 805-2555

Other practice location 1

330 Falconer Dr Ste D-F
Covington, LA 70433-8210
Phone (985) 805-2555

Other practice location 2

5001 Highway 190 East Service Rd Ste D6
Covington, LA 70433-4956
Phone (985) 805-2555

Other identifiers 1

IdentifierTypeStateIssuer
OTT.200154OtherLALOUISIANA STATE BOARD OF MEDICAL EXAMINERS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTT200154LAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1699008631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1609",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700441609",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FALCONER DR STE D-F",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338210",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Falconer Dr Ste D-F",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338210",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Highway 190 East Service Rd Ste D6",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704334956",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "FAITH",
        "middle_name": "CLARIN",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT200154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "OTT.200154",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.