Individual provider Active NPI

Fauchard Saint-Hilaire, COTA/L-CLT

  • Occupational Therapy Assistant
  • Plant City, FL
National Provider Identifier
1831853423
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA17233 Issued in FL
Practice address
2051 Walden Woods Dr
Plant City, FL 33563-3610
Phone
(813) 540-9683
NPI assigned
Oct 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA17233 FL Primary

Addresses

Primary practice location

2051 Walden Woods Dr
Plant City, FL 33563-3610

Mailing address

901 Black Knight Dr
Valrico, FL 33594-6605
Phone (813) 613-8423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207001790 FL Practitioner - Occupational Therapist in Private Practice 5799133724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTA17233FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Rehab Services LLC Occupational Therapy Assistant CurrentSince Aug 10, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1831853423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BLACK KNIGHT DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946605",
            "telephone_number": "813-613-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 WALDEN WOODS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633610",
            "telephone_number": "813-540-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT-HILAIRE",
        "first_name": "FAUCHARD",
        "credential": "COTA/L-CLT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.