Laura M Rutherford Renner, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00123400 Issued in NJ

Practice address

208 New Jersey Ave
Collingswood, NJ 08108-1612

Phone

(856) 854-4405

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1043617699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NEW JERSEY AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081612",
            "telephone_number": "856-854-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NEW JERSEY AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081612",
            "telephone_number": "856-854-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD RENNER",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00123400",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003949L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Romano
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• Darlene Marie Ross
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• Sage Performance LLC
• Brian C Samartino, OD
• Peter D Samson, DMD

• Occupational Therapist in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.