Individual provider Active NPI

Frederick Thomas Fehl, CPO

  • Prosthetist
  • Rock Hill, SC
National Provider Identifier
1417259201
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO-1290
Practice address
223 S Herlong Ave
Ste 110
Rock Hill, SC 29732-1670
Phone
(803) 980-5080
Fax
(803) 980-5083
NPI assigned
Nov 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CPO-1290
Prosthetist 224P00000X CPO-1290 Primary

Addresses

Primary practice location

223 S Herlong Ave
Ste 110
Rock Hill, SC 29732-1670

Mailing address

223 S Herlong Ave
Ste 110
Rock Hill, SC 29732-1670
Phone (803) 980-5080

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1417259201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S HERLONG AVE",
            "address_2": "STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321670",
            "telephone_number": "803-980-5080",
            "fax_number": "803-980-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S HERLONG AVE",
            "address_2": "STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321670",
            "telephone_number": "803-980-5080",
            "fax_number": "803-980-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHL",
        "first_name": "FREDERICK",
        "middle_name": "THOMAS",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CPO-1290",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CPO-1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.