Individual provider Active NPI

Valerie Faul, OTR/L

  • Occupational Therapist
  • St Augustine, FL
National Provider Identifier
1912915588
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12258 Issued in FL
Practice address
1 Orthopaedic PL
St Augustine, FL 32086-4202
Phone
(904) 825-0540
Fax
(904) 825-2490
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 OT12258 FL Primary

Addresses

Primary practice location

1 Orthopaedic PL
St Augustine, FL 32086-4202

Mailing address

1 Orthopaedic PL
Saint Augustine, FL 32086-4202
Phone (904) 825-0540

Other practice location 1

600 El Paseo
Lakeland, FL 33805-4521
Phone (863) 688-6931

Other identifiers 1

IdentifierTypeStateIssuer
1174540001OtherFLDEMRC CIGNA GOVT SUCS

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

State licenses

LicenseStateTypeSpecialty
OT12258FLMDDay Training/Habilitation Specialist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1912915588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORTHOPAEDIC PL",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320864202",
            "telephone_number": "904-825-0540",
            "fax_number": "904-825-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ORTHOPAEDIC PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864202",
            "telephone_number": "904-825-0540",
            "fax_number": "904-825-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 El Paseo",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054521",
            "country_code": "US",
            "telephone_number": "863-688-6931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUL",
        "first_name": "VALERIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMRC CIGNA GOVT SUCS",
            "identifier": "1174540001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.