Active NPI
Kellie Furnald
- Occupational Therapist
- Clinton, NJ
National Provider Identifier
1487305751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- #107 32 Walmart Plaza
Clinton, NJ 08809 - Phone
- (908) 752-1643
- NPI assigned
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
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
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
#107 32 Walmart Plaza
Clinton, NJ 08809
Mailing address
#107 32 Walmart Plaza
Clinton, NJ 08809
Phone (908) 752-1643
NPI Registry JSON
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1487305751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#107 32 WALMART PLAZA",
"city": "CLINTON",
"state": "NJ",
"postal_code": "08809",
"telephone_number": "908-752-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#107 32 WALMART PLAZA",
"city": "CLINTON",
"state": "NJ",
"postal_code": "08809",
"telephone_number": "908-752-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURNALD",
"first_name": "KELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2024-07-12",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.