Alexis Rae Fahr, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15600 Issued in NC

Practice address

970 Branchview Dr NE Ste 160
Concord, NC 28025-2234

Phone

(704) 782-1322

NPI assigned

Dec 12, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1730890609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 ZION CHURCH RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257053",
            "telephone_number": "209-406-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BRANCHVIEW DR NE STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252234",
            "telephone_number": "704-782-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHR",
        "first_name": "ALEXIS",
        "middle_name": "RAE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "15600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "970 Branchview Dr NE Ste 160",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Fagan
• Virginia Fagg
• Damarius Raymond Faggart
• Jonathan Lee Faggart, PA
• K'Netha Meshun Faggart
• Shauna L Faile, LMFTA
• Chesney Anne Fain, LCSW
• Aaron Michael Fairbanks, MD
• Asia Natashia Fairley, LCMHC
• Amber Dawn Falcon

• Occupational Therapy Assistant in Concord, NC
• Providers in Concord, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.