Renaldy Byas
Individual provider Active NPI Occupational Therapist · Southbury, CT
NPI 1194471920 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1194471920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5511 (CT)
- Practice address
- 655 Main St S
Southbury, CT 06488-4220 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5511 | CT | Yes |
Addresses
Primary practice location
655 Main St S
Southbury, CT 06488-4220
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Southbury, CT
- Nicole Bruno
- Grace Margery Budney
- Ceri England Burke
- Matthew Bushey
- Gail Butler
- Melynda Ramona Cabrera
- Michelle Cacace
- Kristina Lyn Caceci
- Elisabeth Cade
- Calmbridge Wellness LLC
All providers in Southbury, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.