Active NPI
Robert Joseph Fournier
- Occupational Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1841953411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT21593
- Practice address
- 11211 Prosperity Farms Rd Unit D
Palm Beach Gardens, FL 33410-3446 - Phone
- (586) 292-3104
- NPI assigned
- Oct 20, 2021
- Last updated
- Oct 20, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1033388 | MI | |
| Occupational Therapist | 225X00000X | OT21593 | FL | Primary |
Addresses
Primary practice location
11211 Prosperity Farms Rd Unit D
Palm Beach Gardens, FL 33410-3446
Mailing address
113 West G Street PMB 2894
San Diego, CA 92101
Phone (586) 292-3104
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT21593 | FL | MD | Occupational Therapist |
| 1033388 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1841953411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WEST G STREET PMB 2894",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92101",
"telephone_number": "586-292-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD UNIT D",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103446",
"telephone_number": "586-292-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURNIER",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "1033388",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT21593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.