Active NPI
Raymond Felimon Flancia Recio
- Occupational Therapist
- Romney, WV
National Provider Identifier
1356890685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1995
- Practice address
- 25072 Northwestern Pike
Romney, WV 26757-5039 - Phone
- (304) 822-2177
- NPI assigned
- Sep 28, 2016
- Sex
- Male
- 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 | 07830 | MD | |
| Occupational Therapist | 225X00000X | 1995 | WV | Primary |
Addresses
Primary practice location
25072 Northwestern Pike
Romney, WV 26757-5039
Mailing address
718 Chestnut St
Hagerstown, MD 21740-6303
Phone (240) 825-7710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321744 | Other | MD | MEDICARE PTAN |
| 437404500 | Medicaid | MD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07830 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern WV Home Health, LLC | Past | Accepting new patients | |
| Northern WV Home Health, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Romney, WV
- NPI 1861443210
-
- Home Health Agency
- Romney, WV
- NPI 1871544213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1356890685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 CHESTNUT ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406303",
"telephone_number": "240-825-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25072 NORTHWESTERN PIKE",
"city": "ROMNEY",
"state": "WV",
"postal_code": "267575039",
"telephone_number": "304-822-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECIO",
"first_name": "RAYMOND FELIMON",
"middle_name": "FLANCIA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-28",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07830",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "321744",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "437404500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Romney, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.