Active NPI
Renae Ankeny, COTA/L
- Occupational Therapy Assistant
- Martinsville, VA
National Provider Identifier
1376083584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131001613
- Practice address
- 812 E Church St
Martinsville, VA 24112-3109 - Phone
- (276) 638-4809
- Fax
- (276) 638-5139
- NPI assigned
- Mar 7, 2017
- Last updated
- Mar 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131001613 | VA | Primary |
Addresses
Primary practice location
812 E Church St
Martinsville, VA 24112-3109
Mailing address
812 E Church St
Martinsville, VA 24112-3109
Phone (276) 638-4809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015560008600 | Other | VA | BPA BESTLIFE |
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 |
|---|---|---|---|
| 0131001613 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1376083584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 E CHURCH ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241123109",
"telephone_number": "276-638-4809",
"fax_number": "276-638-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 E CHURCH ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241123109",
"telephone_number": "276-638-4809",
"fax_number": "276-638-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANKENY",
"first_name": "RENAE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131001613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BPA BESTLIFE",
"identifier": "015560008600",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
- Anchor Family & Prevention Inc.
- Lynn Ann Anderson
- Matthew Tyler Anderson
- Andrew Henritze DDS PLLC
- Angels Wigs and More
- Annie's Home HLTH Care & Transportsvcs
- Apex Transportation Inc
- ASC of Martinsville, LLC (Mulberry Creek Nursing & Rehab)
- Ashbrook Audiology and Hearing Aid Center, Inc
- Paul Edward Ashbrook, MS, CCC-A, FAAA03
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.