Individual provider Active NPI

William H Kennington, OT

  • Occupational Therapist
  • Afton, WY
National Provider Identifier
1174818769
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-893LP Issued in WY
Practice address
901 Adams St
Afton, WY 83110-9621
Phone
(307) 885-7878
NPI assigned
Jun 13, 2011
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-893LP WY Primary

Addresses

Primary practice location

901 Adams St
Afton, WY 83110-9621

Mailing address

PO Box 1619
Afton, WY 83110-1619
Phone (307) 885-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000687 WY Practitioner - Occupational Therapist in Private Practice 3476723503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970

11 Lincoln St
Diamondville, WY 83116-9999
Phone (307) 800-8011

195 Feather Way
Evanston, WY 82930-9352
Phone (307) 789-0096

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
893WYMDDentist
OT-893LPWYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince Oct 7, 2013 Accepting new patients
North Lincoln County Hospital District CurrentSince Oct 7, 2013 Accepting new patients

Locations

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

120 Hospital Ln
Afton, WY 83110
Phone (307) 734-5864

67 Doc Perkes
Afton, WY 83110
Phone (307) 885-7878

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

195 Feather Way
Evanston, WY 82930
Phone (307) 200-9200

124 Petersen Pkwy
Thayne, WY 83127
Phone (307) 883-7878

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1174818769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831101619",
            "telephone_number": "307-885-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109621",
            "telephone_number": "307-885-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNINGTON",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-893LP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.