Renae Jean Ryan Fieck, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 11718 Issued in CA

Practice address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Phone

(858) 966-5406

Fax

(858) 966-5859

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renae Jean Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rady Children'S Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1174907216
  NPD (past)
• Rady Children'S Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1184008229
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1366888927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5406",
            "fax_number": "858-966-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5406",
            "fax_number": "858-966-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIECK",
        "first_name": "RENAE",
        "middle_name": "JEAN RYAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 11718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "RYAN",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Thomas Fick, IDC
• Robert Dean Ficke, IDC
• Raymond A Fidaleo, MD
• Aaron N Fiddelke, DDS
• Ida Mae Fidel, BS
• Allison Fiedler
• Deborah Beth Fiegura
• Adam Field, MD
• Chiprian Andrei Field
• Daniel Kirk Field

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.