Kimberly Joy Fellingham, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

010467 Issued in NY

Practice address

88 Greenwich St
#2605
New York, NY 10006-2204

Phone

(516) 808-2993

NPI assigned

Nov 12, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1750535175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 GREENWICH ST",
            "address_2": "#2605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062204",
            "telephone_number": "516-808-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 GREENWICH ST",
            "address_2": "#2605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062204",
            "telephone_number": "516-808-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLINGHAM",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "010467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Arthur Feller, MD
• Deborah Feller, LCSW
• Faye Miriam Feller, MD
• Michael T Feller, DPT
• Shlomit Feller, RNC, MA, NNP
• Robert Rey Fellman
• Veronica Fellman, DO
• Jennifer Fellowes, M.D.
• Emma Lauren Fellows, PA-C
• Lauren Rose Fellows

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.