MEDICARE: MRS. JAMIE MCFADDEN MS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1871931931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE MCFADDEN MS OTR

Provider Business Mailing Address
First Line	:	4435 STONEHAVEN DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4897
Country	:	US
Telephone Number	:	719-930-3710
Fax Number	:

Provider Business Practice Location Address
First Line	:	4435 STONEHAVEN DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4897
Country	:	US
Telephone Number	:	719-930-3710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2013
Last Update Date	:	04/22/2022

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