Active NPI
Michele Christine Fesenmeyer, OT
- Occupational Therapist
- Candler, NC
National Provider Identifier
1841704673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6573
- Practice address
- 455 Black Oak Cove Rd
Candler, NC 28715-8141 - Phone
- (860) 933-0596
- NPI assigned
- Dec 1, 2017
- Last updated
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 902 | CT | |
| Occupational Therapist | 225X00000X | 6573 | SC | Primary |
Addresses
Primary practice location
455 Black Oak Cove Rd
Candler, NC 28715-8141
Mailing address
455 Black Oak Cove Rd
Candler, NC 28715-8141
Phone (860) 933-0596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1841704673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 BLACK OAK COVE RD",
"city": "CANDLER",
"state": "NC",
"postal_code": "287158141",
"telephone_number": "860-933-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 BLACK OAK COVE RD",
"city": "CANDLER",
"state": "NC",
"postal_code": "287158141",
"telephone_number": "860-933-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESENMEYER",
"first_name": "MICHELE",
"middle_name": "CHRISTINE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "902",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candler, NC
- Emily Epley, AU.D
- Kimberly Lynn Evans
- Evergreen Living Home Inc.
- Sarah Elizabeth Farkas
- Maryann L Fenner, PT, DPT
- Caitlin Marie Fierova, PHARMD
- First Step Farm of Western N. C., Inc
- First Step Farm of WNC, Inc.
- Fletcher Hospital Inc (AdventHealth Medical Group Multispecialty at Candler)
- Kayley Flinders, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.