Active NPIIndividual providerSole proprietor

Mr. William D Fahy III, COTA/L

Occupational Therapy Assistant in Orange, Connecticut

NPI Number1386011328
Practice location
225 Boston Post RD, Orange, CT 06477-3208
Fax
203-795-0836
Last updated
August 25, 2015

William D. Fahy is an Occupational Therapy Assistant based in Orange, CT. William D. Fahy practices in Orange, CT and has the professional credentials of COTA/L. The NPI Number for William D. Fahy is 1386011328 and holds a License No. 000560 (CT). The current practice location address for William D. Fahy is 225 Boston Post RD, Orange, CT 06477-3208 and can be reached out via phone at 203-795-0835 and via fax at 203-795-0836.

Provider Profile Details

NPI Number
1386011328
Provider Name
William D. Fahy
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
225 Boston Post RD, Orange, CT 06477-3208
Phone Number
203-795-0835
Fax Number
203-795-0836
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2015
Last Update Date
August 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Boston Post RD
Orange, CT 06477-3208
City
Orange
Zip
06477-3208
Phone Number
203-795-0835
Fax Number
203-795-0836
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
225 Boston Post RD
Orange, CT 06477-3208
City
Orange
State
CT
Zip
06477-3208
Phone Number
203-795-0835
Fax Number
203-795-0836

License Information

License Number
000560
License State
CT
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. William D Fahy III, COTA/L?

The NPI number of Mr. William D Fahy III, COTA/L is 1386011328. It was assigned on August 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. William D Fahy III, COTA/L?

Mr. William D Fahy III, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 000560.

Where does Mr. William D Fahy III, COTA/L practice?

The practice location is 225 Boston Post RD, Orange, CT 06477-3208. The office can be reached at 203-795-0835 (phone) or 203-795-0836 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386011328 directly on the NPPES registry website.

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