Ethan Fahrney
NPI 1417517533ActiveIndividual· Occupational Therapist· Shiprock, NM
Occupational Therapist in Shiprock, New Mexico, licensed in DE, with an NPI issued in June 2019. Medicare paid $3,692 for services to 26 patients in 2024.
Overview
| NPI | 1417517533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 20, 2019 |
| Last updated in NPPES | Jun 29, 2020 |
| Certified by provider | Jun 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | U1-0002030 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 129 across 8 procedure codes |
| Paid by Medicare | $3,692 |
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