Individual provider Active NPI

Kim Renuart Townsend, MSOTR/L CHT

  • Hand Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1366405441
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0182 Issued in NC
Practice address
3404 Wake Forest Rd
Suite 303
Raleigh, NC 27609-7341
Phone
(919) 872-3171
Fax
(919) 872-6739
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0182 NC Primary

Addresses

Primary practice location

3404 Wake Forest Rd
Suite 303
Raleigh, NC 27609-7341

Mailing address

3404 Wake Forest Rd
Suite 303
Raleigh, NC 27609-7341
Phone (919) 872-3171

Other identifiers 1

IdentifierTypeStateIssuer
P00297472OtherNCRAILROAD MEDICARE

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

LicenseStateTypeSpecialty
0182NCMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Hand to Shoulder Center PA PastSince Mar 16, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1366405441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD",
            "address_2": "SUITE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097341",
            "telephone_number": "919-872-3171",
            "fax_number": "919-872-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD",
            "address_2": "SUITE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097341",
            "telephone_number": "919-872-3171",
            "fax_number": "919-872-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "KIM",
        "middle_name": "RENUART",
        "credential": "MSOTR/L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "0182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00297472",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.