Active NPI
Renee J Black, OTR/L
- Occupational Therapist
- Westerville, OH
National Provider Identifier
1417023797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 02917
- Practice address
- 7959 Howell Dr
Westerville, OH 43081-8044 - Phone
- (614) 433-0773
- Fax
- (614) 433-0773
- NPI assigned
- Nov 28, 2006
- 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 Therapist | 225X00000X | 02917 | OH | Primary |
Addresses
Primary practice location
7959 Howell Dr
Westerville, OH 43081-8044
Mailing address
7959 Howell Dr
Westerville, OH 43081-8044
Phone (614) 433-0773
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 |
|---|---|---|---|
| 02917 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1417023797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7959 HOWELL DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818044",
"telephone_number": "614-433-0773",
"fax_number": "614-433-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7959 HOWELL DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818044",
"telephone_number": "614-433-0773",
"fax_number": "614-433-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "RENEE",
"middle_name": "J",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "02917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.