Individual provider Active NPI

Regine Tudor Senkyr

  • Occupational Therapy Assistant
  • Villa Rica, GA
National Provider Identifier
1093591992
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
001303 Issued in GA
Practice address
4002 Golfview Dr
Villa Rica, GA 30180-9767
Phone
(678) 913-3366
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
001303GAMDOccupational Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001303 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

4002 Golfview Dr
Villa Rica, GA 30180-9767

Mailing address

4002 Golfview Dr
Villa Rica, GA 30180-9767
Phone (678) 913-3366

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2023.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1093591992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 GOLFVIEW DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809767",
            "telephone_number": "678-913-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 GOLFVIEW DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809767",
            "telephone_number": "678-913-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENKYR",
        "first_name": "REGINE",
        "middle_name": "TUDOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "001303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.