Active NPI
Julie C. Talcott-Fuller, MSOT, OTR/L
- Occupational Therapist
- Medford, OR
National Provider Identifier
1730420563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 287912
- Practice address
- 1700 E Barnett Rd
Medford, OR 97504-0052 - Phone
- (541) 773-8255
- NPI assigned
- Mar 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 12366 | CA | |
| Occupational Therapist | 225X00000X | 287912 | OR | Primary |
Addresses
Primary practice location
1700 E Barnett Rd
Medford, OR 97504-0052
Mailing address
1700 E Barnett Rd
Medford, OR 97504-0052
Phone (541) 773-8255
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech Center,Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Medford, OR
- NPI 1235217761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1730420563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975040052",
"telephone_number": "541-773-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975040052",
"telephone_number": "541-773-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALCOTT-FULLER",
"first_name": "JULIE",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "MSOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-04",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "12366",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "287912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.