Marci R Foutch, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1800-027 Issued in WI

Practice address

125 Hospital Dr
Watertown, WI 53098-3303

Phone

(920) 262-4220

NPI assigned

Mar 28, 2007

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

Other names 1

• Marci R Fowler Former name

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790804052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E WATER ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530945311",
            "telephone_number": "920-262-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-262-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTCH",
        "first_name": "MARCI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1800-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "FOWLER",
            "middle_name": "R",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• First Watertown Care LLC
• Alicja Janina Fitzgerald, O.D.
• Alyssa Jean Flagge, PA-C
• Forward Family Care, LLC
• Edward J Foster, MD
• William E Fowler, M.D.
• Sherry Lyn Fraser, RMT
• Sarah J Fredrich, LCSW
• Edward Fairfax Frost, MD
• Jeffrey Fruendt, D.C.

• Occupational Therapy Assistant in Watertown, WI
• Providers in Watertown, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.