Madison Favetto

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16727 Issued in NC

Practice address

7500 E Independence Blvd Ste 101
Charlotte, NC 28227-9482

Phone

(980) 486-8289

Fax

(704) 625-0394

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Napa Center Inc.

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1225832314
  NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1821530718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E INDEPENDENCE BLVD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279482",
            "telephone_number": "980-486-8289",
            "fax_number": "704-625-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 E INDEPENDENCE BLVD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279482",
            "telephone_number": "980-486-8289",
            "fax_number": "704-625-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 N LaMar Blvd Ste A114",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521049",
            "country_code": "US",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812890",
            "country_code": "US",
            "telephone_number": "614-355-7500",
            "fax_number": "614-355-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVETTO",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121973",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacie Alexandra Faulkner
• Lindsay Eilene Faulkner, PHARM.D.
• Mary Ruth Faulkner
• Meredith Jayne Faulkner, MD
• Justin P Favaro, MD
• Favor Inc LLC
• Barbara Favruzzo, M.ED. CCC/SLP
• Tammy Faw Severeide, FNP-C
• Jane S Fawcett, NP
• Jeffrey Fawcett

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.