William D. Fahy III, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000560 Issued in CT

Practice address

225 Boston Post Rd
Orange, CT 06477-3208

Phone

(203) 795-0835

Fax

(203) 795-0836

NPI assigned

Aug 25, 2015

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1386011328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773208",
            "telephone_number": "203-795-0835",
            "fax_number": "203-795-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773208",
            "telephone_number": "203-795-0835",
            "fax_number": "203-795-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHY",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "000560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Joseph Federici, LCSW
• Anthony V Ferraro

• Occupational Therapy Assistant in Orange, CT
• Providers in Orange, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.