Active NPI
William Fenderson, OTR
- Occupational Therapist
- Poughkeepsie, NY
National Provider Identifier
1164577292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002873
- Practice address
- 230 North Rd
Poughkeepsie, NY 12601-1328 - Phone
- (845) 452-0774
- Fax
- (845) 452-7358
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 002873 | NY | Primary |
Addresses
Primary practice location
230 North Rd
Poughkeepsie, NY 12601-1328
Mailing address
30 North Rd
Highland, NY 12528-1024
Phone (845) 691-7999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002873 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164577292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NORTH RD",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125281024",
"telephone_number": "845-691-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011328",
"telephone_number": "845-452-0774",
"fax_number": "845-452-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDERSON",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "002873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
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.