Active NPI
Stephanie Marie Renner
- Occupational Therapist
- Shelby Charter Township, MI
National Provider Identifier
1417433566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005447
- Practice address
- Regency at Shelby
7401 22 Mile Road
Shelby Charter Township, MI 48317 - Phone
- (586) 580-5500
- NPI assigned
- Jul 12, 2018
- Last updated
- Jul 12, 2018
- 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 | 5201005447 | MI | Primary |
Addresses
Primary practice location
Regency at Shelby
7401 22 Mile Road
Shelby Charter Township, MI 48317
Mailing address
1002 E Tienken Rd
Rochester Hills, MI 48306-4551
Phone (248) 650-5256
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 |
|---|---|---|---|
| 5201005447 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1417433566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 E TIENKEN RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483064551",
"telephone_number": "248-650-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REGENCY AT SHELBY",
"address_2": "7401 22 MILE ROAD",
"city": "SHELBY CHARTER TOWNSHIP",
"state": "MI",
"postal_code": "48317",
"telephone_number": "586-580-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Charter Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.