Active NPI
William Avena Avancena, PT
- Orthopedic Physical Therapist
- Poughkeepsie, NY
National Provider Identifier
1902002413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 021668
- Practice address
- 243 North Rd
Poughkeepsie, NY 12601-1172 - Phone
- (845) 485-5087
- Fax
- (845) 485-4904
- NPI assigned
- Jun 22, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 021668 | NY | Primary |
Addresses
Primary practice location
243 North Rd
Poughkeepsie, NY 12601-1172
Mailing address
7 Amherst Rd
Red Hook, NY 12571-1613
Phone (845) 758-5424
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 |
|---|---|---|---|
| 021668 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902002413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 AMHERST RD",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711613",
"telephone_number": "845-758-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011172",
"telephone_number": "845-485-5087",
"fax_number": "845-485-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVANCENA",
"first_name": "WILLIAM",
"middle_name": "AVENA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "021668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
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.