Charles Joseph Fickentsher Jr., COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

147777 Issued in KY

Practice address

145 Tower Cir
Somerset, KY 42503-3488

Phone

(606) 679-4578

NPI assigned

Jul 31, 2024

Sex

Male

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)

Not enrolled

State licenses

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.

• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794
  NPD (past)

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1174352645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SPEEDWAY DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031559",
            "telephone_number": "502-813-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033488",
            "telephone_number": "606-679-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKENTSHER",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "147777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feel the Burn Cardiac Rehab
• Angela L Feese, LCSW
• William Joseph Feltner, DMD
• Amanda Ferebee, PHARMD
• Stacey Gail Ferrell, DI
• Alecia Fields
• Candace Nicole Fields
• Melissa Fields
• Connie L Finck
• Lindsey J Finley, LPCC

• Occupational Therapy Assistant in Somerset, KY
• Providers in Somerset, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.