Tracy Renna, OTR
Individual provider Active NPI Occupational Therapist · Oxford, FL
NPI 1285960229 · NPPES record last updated Oct 27, 2019
Key facts
- NPI
- 1285960229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT14017 (FL)
- Practice address
- 4904 NE 123Rd LN
Oxford, FL 34484 - Phone
- (352) 512-6513
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Therapy Group, LLC | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | OT14017 | FL | Yes |
Addresses
Primary practice location
4904 NE 123Rd LN
Oxford, FL 34484
Mailing address
4904 NE 123Rd LN
Oxford, FL 34484-9630
Phone (352) 512-6513
Other practice location 1
2050 Tilden Ave
Box 1000
New Hartford, NY 13413-3613
Phone (315) 797-3114 ext. 2272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00313539 | Medicaid | NY | |
| 01815443 | Medicaid | NY |
Other providers in Oxford, FL
- Preventive Nephrology, PA
- Promise Hospital of Florida at the Villages, Inc.
- Patrick Pruitt
- Dawn Quinlan
- Gayle Reed
- Randi Renee Restor
- Julie B. Riley
- Richard M Roach
- Kipp Ashley Roberts
- Joanne O'Keefe Rowe
All providers in Oxford, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.