Individual provider Active NPI

Renee Lockhart, MS OTRL

  • Occupational Therapist
  • Albertson, NY
National Provider Identifier
1518185362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0132221 Issued in NY
Practice address
201 I U Willets Rd
Albertson, NY 11507-1516
Phone
(516) 739-4900
Fax
(516) 739-4909
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0132221 NY Primary

Addresses

Primary practice location

201 I U Willets Rd
Albertson, NY 11507-1516

Mailing address

15 Gaynor Ave
Apt 1J
Manhasset, NY 11030-1951
Phone (516) 708-1659

Other identifiers 1

IdentifierTypeStateIssuer
00274415MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806000472 NY Practitioner - Occupational Therapist in Private Practice 4789943721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Boston University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macmanus Therapy OT PCGroup PAC ID 8022377118, 2 clinicians

Practice addresses (Care Compare)

158 E Main St
Suite 4
Huntington, NY 11743-2988
Phone (631) 460-3630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013222NYMDChiropractor
0132221NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Macmanus Therapy, OT, P.C. CurrentSince Sep 7, 2017 Accepting new patients
Macmanus Therapies Inc. Past Accepting new patients

Locations

158 E Main St
Ste 4
Huntington, NY 11743
Phone (516) 729-1352

Organizations & group practices 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518185362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GAYNOR AVE",
            "address_2": "APT 1J",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301951",
            "telephone_number": "516-708-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 I U WILLETS RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071516",
            "telephone_number": "516-739-4900",
            "fax_number": "516-739-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "RENEE",
        "credential": "MS OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0132221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.