Cynthia Jones Fish, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5073 Issued in NC

Practice address

1027 E Mountain St # 101
Kernersville, NC 27284-7902

Phone

(336) 996-4980

Fax

(336) 996-3521

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cynthia Leanne Divincenzo Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kernersville Rehab Specialists LLC

  • Physical Therapist
  • Kernersville, NC
  • NPI 1831157833
  Medicare reassignment

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1417907825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E MOUNTAIN ST # 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847902",
            "telephone_number": "336-996-4980",
            "fax_number": "336-996-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E MOUNTAIN ST # 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847902",
            "telephone_number": "336-996-4980",
            "fax_number": "336-996-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "CYNTHIA",
        "middle_name": "JONES",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "DIVINCENZO",
            "middle_name": "LEANNE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanna C. R. Festa
• Keshawna Fields, OTR/L
• First Choice Express Logistics LLC
• First Commmunity of Triad
• Amy -Jo Fischer, D.D.S.
• Thomas Charles Fish, PT
• Jessica Lynn Farmer Flanery, M.S., ED.S., LPC
• Zelda Fleming, FNP-BC
• Joseph B Fonke, D.C.
• Forsyth Memorial Hospital Inc

• Occupational Therapist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.