Active NPI
William Cecrle, MOT
- Occupational Therapist
- Redmond, OR
National Provider Identifier
1891137006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 312826
- Practice address
- 2398 W Antler Ave
Redmond, OR 97756-9330 - Phone
- (541) 408-1373
- Fax
- (866) 914-5194
- NPI assigned
- Jul 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2591 | OR | |
| Occupational Therapist | 225X00000X | 312826 | OR | Primary |
Addresses
Primary practice location
2398 W Antler Ave
Redmond, OR 97756-9330
Mailing address
685 36TH Ave NE
Salem, OR 97301-4741
Phone (503) 540-8701
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Redmond |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529003397 | OR | Practitioner - Occupational Therapist in Private Practice | 8426376492 | Practice locations: Redmond, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312826 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Northwest LLC | Past | Accepting new patients | |
| Physical Therapy Northwest Limited Partnership | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Stayton, OR
- NPI 1255843355
-
- Physical Therapy Clinic/Center
- Salem, OR
- NPI 1417934886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1891137006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 36TH AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014741",
"telephone_number": "503-540-8701",
"fax_number": "503-371-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2398 W ANTLER AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977569330",
"telephone_number": "541-408-1373",
"fax_number": "866-914-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECRLE",
"first_name": "WILLIAM",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "2591",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "312826",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Redmond",
"affiliation": "N",
"address_1": "2398 W Antler Ave",
"city": "Redmond",
"state": "OR",
"country_code": "US",
"postal_code": "977569330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.