Anthony Shawn Fogerson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111917 Issued in TX

Practice address

2005 Broadway
Lubbock, TX 79401-3019

Phone

(806) 744-3800

Fax

(806) 744-4210

NPI assigned

Aug 4, 2008

Last updated

Aug 4, 2008By the provider in NPPES

Sex

Male

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)

Not 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.

• Merritt Chiropractic, PA

  • Chiropractor
  • Lubbock, TX
  • NPI 1356469035
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1720244254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013019",
            "telephone_number": "806-744-3800",
            "fax_number": "806-744-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013019",
            "telephone_number": "806-744-3800",
            "fax_number": "806-744-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGERSON",
        "first_name": "ANTHONY",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Florez-Garcia, PT
• Luisa Florez, MD
• Lissa Flory McDonald, AG-ACNP BC
• Addie Marie Pederson Flowers
• Benjamin Lloyd Fluhman, D.P.M.
• Jude Mundi Fondoh, RPH
• Kayla Fonken
• Dustin Ray Fontana
• Lindsey Taylor Foote, SLP
• Jeremy Forbus

• Occupational Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.