Caroline Fenker, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007848A Issued in IN

Practice address

2314 Valentine Rd
Kokomo, IN 46902-3592

Phone

(765) 319-8420

Fax

(844) 874-6349

NPI assigned

Oct 6, 2022

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

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1982329561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 VALENTINE RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023592",
            "telephone_number": "765-319-8420",
            "fax_number": "844-874-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 VALENTINE RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023592",
            "telephone_number": "765-319-8420",
            "fax_number": "844-874-6349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041677",
            "country_code": "US",
            "telephone_number": "260-267-6330",
            "fax_number": "844-874-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENKER",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007848A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.