Active NPI
Soofia Afzal Naqvi, MOT
- Occupational Therapist
- O Fallon, MO
National Provider Identifier
1851673552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2011024190
- Practice address
- 6945 Clayborne Dr
O Fallon, MO 63368-6203 - Phone
- (314) 825-6535
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2011024190 | MO | Primary |
Addresses
Primary practice location
6945 Clayborne Dr
O Fallon, MO 63368-6203
Mailing address
6945 Clayborne Dr
O Fallon, MO 63368-6203
Phone (314) 825-6535
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1851673552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6945 CLAYBORNE DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686203",
"telephone_number": "314-825-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6945 CLAYBORNE DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686203",
"telephone_number": "314-825-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAQVI",
"first_name": "SOOFIA",
"middle_name": "AFZAL",
"credential": "MOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2011024190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.