Caron Faherty, O.T.

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT1145 Issued in FL

Practice address

690 Jensen Beach Blvd
Jensen Beach, FL 34957-4750

Phone

(772) 708-3751

Fax

(772) 225-0843

NPI assigned

Feb 26, 2007

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Occupational Therapy Products Inc

  • Physical Therapy Clinic/Center
  • Jensen Beach, FL
  • NPI 1760639066
  Authorized official Same address or phone
• Quality Performance Rehabilitation Inc.

  • Physical Therapist
  • Fort Pierce, FL
  • NPI 1346380813
  NPD (past)
• Quality Performance Rehabilitation, Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1952335291
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1710013651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574750",
            "telephone_number": "772-708-3751",
            "fax_number": "772-225-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574750",
            "telephone_number": "772-708-3751",
            "fax_number": "772-225-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHERTY",
        "first_name": "CARON",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M. Erdwein, APRN, CNM
• Elizabeth Whitty Ernst, SLP
• Everydaydoctor Inc
• Freedah Destiny Exavier, MS
• Eye Care Vision Group P.a.
• Family Dentistry of Jensen Beach PLLC (Family Dentistry of Jensen Beach)
• Family First Physician Services LLC
• Family First Physician Services LLC
• Bradley Farias
• Geoffrey M Farmer, O.D.

• Hand Occupational Therapist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Hand Occupational Therapist in Florida

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

Verify at the official NPI Registry.