Michele Foutz, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

1958 Issued in AZ

Practice address

1580 E River Rd
Tucson, AZ 85718-7629

Phone

(520) 207-2191

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Genesis Eldercare Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Tucson, AZ
  • NPI 1679984249
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1932576162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187629",
            "telephone_number": "520-207-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTZ",
        "first_name": "MICHELE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "AZ",
            "license": "1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fourth Wall Wellness LLC
• Haley Foushee
• Nina Foushee
• Jennifer A Fout, LPC
• Marie Fouts
• Stanley Earl Foutz, MD
• Fowler Chiropractic PLLC
• Carla Fowler, M.D. PHD.
• Christian Todd Fowler, DDS
• Daniel Fowler

• Gerontology Occupational Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gerontology Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.