Active NPI
Rani E Halliday, COTA
- Occupational Therapy Assistant
- Saint Augustine, FL
National Provider Identifier
1275190332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 16490
- Practice address
- 214 Flora Lake Cir
Saint Augustine, FL 32095-8962 - Phone
- (480) 600-5728
- NPI assigned
- May 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 16490 | FL | Primary |
Addresses
Primary practice location
214 Flora Lake Cir
Saint Augustine, FL 32095-8962
Mailing address
214 Flora Lake Cir
Saint Augustine, FL 32095-8962
Phone (480) 600-5728
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 |
|---|---|---|---|
| 16490 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1275190332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 FLORA LAKE CIR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320958962",
"telephone_number": "480-600-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 FLORA LAKE CIR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320958962",
"telephone_number": "480-600-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIDAY",
"first_name": "RANI",
"middle_name": "E",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "16490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.