Nathanael Ranck, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2144 Issued in WV

Practice address

80 Maddex Dr
Shepherdstown, WV 25443-4305

Phone

(304) 876-9422

NPI assigned

May 4, 2017

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2017.

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1154857449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MADDEX DR",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434305",
            "telephone_number": "304-876-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MADDEX DR",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434305",
            "telephone_number": "304-876-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCK",
        "first_name": "NATHANAEL",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Shepherdstown, WV
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.