Active NPI
Renee Elizabeth Mish, M.S., OTR/L
- Occupational Therapist
- Stanardsville, VA
National Provider Identifier
1073749453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119003867
- Practice address
- 1683 Bull Yearling Rd
Stanardsville, VA 22973-2610 - Phone
- (434) 409-0949
- NPI assigned
- May 30, 2009
- Last updated
- May 30, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119003867 | VA | Primary |
Addresses
Primary practice location
1683 Bull Yearling Rd
Stanardsville, VA 22973-2610
Mailing address
1683 Bull Yearling Rd
Stanardsville, VA 22973-2610
Phone (434) 409-0949
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003867 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243641600000",
"number": "1073749453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1683 BULL YEARLING RD",
"city": "STANARDSVILLE",
"state": "VA",
"postal_code": "229732610",
"telephone_number": "434-409-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1683 BULL YEARLING RD",
"city": "STANARDSVILLE",
"state": "VA",
"postal_code": "229732610",
"telephone_number": "434-409-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISH",
"first_name": "RENEE",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-30",
"last_updated": "2009-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119003867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanardsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.