Active NPI
Connie Gayle Rankin, OTR
- Occupational Therapist
- Texarkana, TX
National Provider Identifier
1275551459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103929
- Practice address
- 4303 Texas Blvd
Suite 8
Texarkana, TX 75503-3097 - Phone
- (903) 793-1797
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225X00000X | 103929 | TX | Primary |
Addresses
Primary practice location
4303 Texas Blvd
Suite 8
Texarkana, TX 75503-3097
Mailing address
7215 Stonewall Dr
Texarkana, TX 75503-0917
Phone (903) 831-4511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86941T | Other | TX | BCBS |
| 99453 | Other | AR | BCBS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of Texarkana PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- NPI 1629034863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275551459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 STONEWALL DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030917",
"telephone_number": "903-831-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 TEXAS BLVD",
"address_2": "SUITE 8",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033097",
"telephone_number": "903-793-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "CONNIE",
"middle_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86941T",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "99453",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.