Active NPI
Ranyouri Quanda Hines, MHS, OTR/L, CLT
- Occupational Therapist
- Albany, GA
National Provider Identifier
1104155092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004854
- Practice address
- 713 Douglas Ave
Albany, GA 31701-4250 - Phone
- (229) 395-4735
- NPI assigned
- Dec 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004854 | GA | Primary |
| Occupational Therapist | 225X00000X | OT13249 | FL | |
| Occupational Therapist | 225X00000X | OT113140 | TX |
Addresses
Primary practice location
713 Douglas Ave
Albany, GA 31701-4250
Mailing address
713 Douglas Ave
Albany, GA 31701-4250
Phone (229) 395-4735
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 |
|---|---|---|---|
| OT13249 | FL | MD | Occupational Therapist |
| OT004854 | GA | MD | Occupational Therapist |
| OT113140 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1104155092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 DOUGLAS AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317014250",
"telephone_number": "229-395-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 DOUGLAS AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317014250",
"telephone_number": "229-395-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "RANYOURI",
"middle_name": "QUANDA",
"name_prefix": "Ms.",
"credential": "MHS, OTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004854",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT13249",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "OT113140",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.