Tracy Renna, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14017 Issued in FL

Practice address

4904 NE 123Rd LN
Oxford, FL 34484

Phone

(352) 512-6513

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centerlife Therapy, LLC

  • Rehabilitation Clinic/Center
  • Oxford, FL
  • NPI 1144864133
  Authorized official Same address or phone
• Natural Therapy Group, LLC

  • Occupational Therapist
  • Oxford, FL
  • NPI 1659849008

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1285960229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 NE 123RD LN",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344849630",
            "telephone_number": "352-512-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 NE 123RD LN",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "34484",
            "telephone_number": "352-512-6513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Tilden Ave",
            "address_2": "Box 1000",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134133613",
            "country_code": "US",
            "telephone_number": "315-797-3114 x2272",
            "fax_number": "315-624-0474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNA",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preventive Nephrology, PA
• Promise Hospital of Florida at the Villages, Inc.
• Patrick Pruitt
• Dawn Quinlan, PT
• Gayle Reed, CRNA
• Randi Renee Restor
• Katelyn Elaine Reynolds, APRN
• Julie B. Riley
• Richard M Roach, MD
• Kipp Ashley Roberts, COTA

• Occupational Therapist in Oxford, FL
• Providers in Oxford, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.