Individual provider Active NPI

Lindsay Montague Renninger, OTR/L

  • Occupational Therapist
  • Altamonte Springs, FL
National Provider Identifier
1255505442
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 13088 Issued in FL
Practice address
1249 S Timberland TRL
Altamonte Springs, FL 32714-1295
Phone
(407) 342-9767
NPI assigned
Apr 17, 2008
Last updated
Jul 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 13088 FL Primary

Addresses

Primary practice location

1249 S Timberland TRL
Altamonte Springs, FL 32714-1295

Mailing address

1249 S Timberland TRL
Altamonte Springs, FL 32714-1295

Other identifiers 1

IdentifierTypeStateIssuer
OT 13088OtherFLOT LICENSE

Other names 1

  • Ms. Lindsay Michelle Montague Former name

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
OT 13088FLMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1255505442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 S TIMBERLAND TRL",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 S TIMBERLAND TRL",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141295",
            "telephone_number": "407-342-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNINGER",
        "first_name": "LINDSAY",
        "middle_name": "MONTAGUE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 13088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT 13088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "MONTAGUE",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.