Active NPI
William Andrew Oetting, PT
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1659308732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002631
- Practice address
- 5 Edgewood Ave
Greenwich, CT 06830-5211 - Phone
- (203) 302-3570
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002631 | CT | Primary |
Addresses
Primary practice location
5 Edgewood Ave
Greenwich, CT 06830-5211
Mailing address
15 Louis Dr
Katonah, NY 10536-3122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ANC866 | Other | CT | OXFORD ORTHONET PROVIDER |
| 080002631CT01 | Other | CT | ANTHEM BCBS PROVIDER # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002631 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659308732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LOUIS DR",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EDGEWOOD AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305211",
"telephone_number": "203-302-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OETTING",
"first_name": "WILLIAM",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "002631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ORTHONET PROVIDER",
"identifier": "ANC866",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PROVIDER #",
"identifier": "080002631CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.