Individual provider Active NPI

Stephanie Ann Fausz, OTR/L

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1871697326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-03476 Issued in OH
Practice address
2300 Montana Avenue
Suite 420
Cincinnati, OH 45211-3888
Phone
(513) 662-3400
Fax
(513) 662-3071
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-03476 OH Primary

Addresses

Primary practice location

2300 Montana Avenue
Suite 420
Cincinnati, OH 45211-3888

Mailing address

3061 Village Dr
Edgewood, KY 41017-3238
Phone (859) 331-3359

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

LicenseStateTypeSpecialty
OT-03476OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caregivers Health Network, Inc. Past 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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871697326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173238",
            "telephone_number": "859-331-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MONTANA AVENUE",
            "address_2": "SUITE 420",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452113888",
            "telephone_number": "513-662-3400",
            "fax_number": "513-662-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSZ",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-03476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.