Active NPI
Renee Cerney
- Occupational Therapy Assistant
- Little Rock, AR
National Provider Identifier
1356815419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA1376
- Practice address
- 2600 W Markham St
Little Rock, AR 72205-5925 - Phone
- (501) 296-1810
- NPI assigned
- Jan 11, 2019
- Last updated
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA1376 | AR | Primary |
Addresses
Primary practice location
2600 W Markham St
Little Rock, AR 72205-5925
Mailing address
8621 J B Baxley Rd
Benton, AR 72015-7713
Phone (570) 971-7496
Other practice location 1
2600 W Markham St
Little Rock, AR 72205-5925
Phone (570) 971-7496
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 |
|---|---|---|---|
| OTA1376 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1356815419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8621 J B BAXLEY RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720157713",
"telephone_number": "570-971-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055925",
"telephone_number": "501-296-1810"
}
],
"practiceLocations": [
{
"address_1": "2600 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722055925",
"country_code": "US",
"telephone_number": "570-971-7496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERNEY",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OTA1376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Central Arkansas Vetrans Healthcare Service
- Central Arkansas Volunteers Inmedicine (Harmony Health Clinic)
- Central Clinic for Women, P. a.
- Central Medical Group
- Centre @ 10 Dental Group
- Joseph M Cerrato, M.S.CCC-SLP
- Cesar Cruz, DDS P.a. (Universal Dental Center)
- Kaylin Cesarski, DO
- Neslihan Cetin, M.D.
- Anne Cetto
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.