Footprints Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FOOTPRINTS THERAPY SERVICES LLC

Practice address

3137 Eagle Dr
Fort Collins, CO 80526-2815

Phone

(301) 646-7016

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Emily Fawaz, OTR/LNPI 1982236451

Title

Owner

Phone

(301) 646-7016

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Fawaz, OT

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1982236451
  NPD Authorized official

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1699418640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 EAGLE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262815",
            "telephone_number": "301-646-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 EAGLE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262815",
            "telephone_number": "301-646-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "FAWAZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-646-7016",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982236451",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foothills Gateway Inc.
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• Foothills Orthopedic & Sport Therapy, PC
• Margaret Forbush
• Alison M Ford, LCSW
• Chelsea Blaine Ford, CRNA
• David B Ford, C.S.T.
• Haley Ford, PHD

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.