Individual provider Active NPI

Yadira M. Rentas, OTR/L

  • Pediatric Occupational Therapist
  • San Juan, PR
National Provider Identifier
1275983181
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
000155 Issued in PR
Practice address
RR 10 Box 10194
San Juan, PR 00926-9976
Phone
(787) 637-4620
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000155 PR
Pediatric Occupational Therapist 225XP0200X 000155 PR Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 000155 PR

Addresses

Primary practice location

RR 10 Box 10194
San Juan, PR 00926-9976

Mailing address

RR 10 Box 10194
San Juan, PR 00926-9976
Phone (787) 637-4620

Other identifiers 3

IdentifierTypeStateIssuer
AA216929OtherMDNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
000155OtherPRPR OFFICE OF REGULATION & CERTIFICATION OF HEALTH PROFFESIONALS
000000216929OtherMDTHE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION

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
000155PRMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1275983181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 10 BOX 10194",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269976",
            "telephone_number": "787-637-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 10 BOX 10194",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269976",
            "telephone_number": "787-637-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTAS",
        "first_name": "YADIRA",
        "middle_name": "M.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "000155",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PR",
            "license": "000155",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "PR",
            "license": "000155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.",
            "identifier": "AA216929",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR OFFICE OF REGULATION & CERTIFICATION OF HEALTH PROFFESIONALS",
            "identifier": "000155",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION",
            "identifier": "000000216929",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.