William Ralph Rentel III, OTR/L. D/PAM

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

262588 Issued in KY

Practice address

945 W Russell St
Elkhorn City, KY 41522-9032

Phone

(844) 334-3818

NPI assigned

Sep 8, 2021

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

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1245909712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CEDAR CREEK RD APT 11",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011415",
            "telephone_number": "423-794-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W RUSSELL ST",
            "city": "ELKHORN CITY",
            "state": "KY",
            "postal_code": "415229032",
            "telephone_number": "844-334-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTEL",
        "first_name": "WILLIAM",
        "middle_name": "RALPH",
        "name_suffix": "III",
        "credential": "OTR/L. D/PAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "262588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Elkhorn City, KY
• Providers in Elkhorn City, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.