Active NPI
Rhonda Henneberry, OTR/L
- Occupational Therapist
- Pittsfield, MA
National Provider Identifier
1033588728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11410
- Practice address
- 169 Valentine Rd
Pittsfield, MA 01201-3042 - Phone
- (914) 629-0814
- NPI assigned
- Sep 23, 2015
- Last updated
- Sep 23, 2015
- Sex
- Female
- 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 | 11410 | MA | Primary |
| Occupational Therapist | 225X00000X | 019285-1 | NY |
Addresses
Primary practice location
169 Valentine Rd
Pittsfield, MA 01201-3042
Mailing address
2373 State Route 295
Canaan, NY 12029-3407
Phone (518) 781-0374
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 |
|---|---|---|---|
| 11410 | MA | MD | Occupational Therapist |
| 019285-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1033588728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2373 STATE ROUTE 295",
"city": "CANAAN",
"state": "NY",
"postal_code": "120293407",
"telephone_number": "518-781-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 VALENTINE RD",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013042",
"telephone_number": "914-629-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNEBERRY",
"first_name": "RHONDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11410",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019285-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.