Active NPI
Renee Elizabeth Keny
- Occupational Therapist
- Northbrook, IL
National Provider Identifier
1306018882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00429600
- Practice address
- 350 Lee Rd
Northbrook, IL 60062-1521 - Phone
- (847) 562-2100
- NPI assigned
- Mar 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00429600 | NJ | Primary |
| Occupational Therapist | 225X00000X | 056008578 | IL |
Addresses
Primary practice location
350 Lee Rd
Northbrook, IL 60062-1521
Mailing address
350 Lee Rd
Northbrook, IL 60062-1521
Phone (847) 562-2100
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 |
|---|---|---|---|
| 056008578 | IL | MD | Occupational Therapist |
| 46TR00429600 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1306018882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621521",
"telephone_number": "847-562-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621521",
"telephone_number": "847-562-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENY",
"first_name": "RENEE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00429600",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.