Active NPI
Paul C Fawcett, MS, OTR/L
- Occupational Therapist
- Spokane, WA
National Provider Identifier
1720330327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 00004077
- Practice address
- 200 N Bernard St
Spokane, WA 99201-0206 - Phone
- (509) 354-6327
- NPI assigned
- Oct 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | OT 00004077 | WA | Primary |
Addresses
Primary practice location
200 N Bernard St
Spokane, WA 99201-0206
Mailing address
9116 E Sprague Ave
#347
Spokane Valley, WA 99206-3601
Phone (509) 927-2565
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 00004077 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1720330327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9116 E SPRAGUE AVE",
"address_2": "#347",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992063601",
"telephone_number": "509-927-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BERNARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010206",
"telephone_number": "509-354-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-05",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 00004077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.