Faith Fennimore

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

978483 Issued in OR

Practice address

200 S Hazel Dell Way Ste 210
Canby, OR 97013-7828

Phone

(503) 263-9550

NPI assigned

Nov 26, 2024

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanders Hand Therapy, Inc.Group PAC ID 3971775941, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sanders Hand Therapy, Inc

  • Hand Occupational Therapist
  • Woodburn, OR
  • NPI 1164700837
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1851117675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973810040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HAZEL DELL WAY STE 210",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970137828",
            "telephone_number": "503-263-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIMORE",
        "first_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "978483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Eveleigh, ATR-BC, LPC
• Shawn A Ewbank
• Family Health Practitioners Clinic PC
• Susan Troy Fee, ANP GNP
• Sara Fender, MA, LPC
• Anthony A Ferroggiaro, MD
• First Avenue Clinic
• Flourishing Tots, LLC
• Tara J Foley, PA-C
• Julie Michelle Francis, M.S., L.P.C.

• Occupational Therapist in Canby, OR
• Providers in Canby, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.