Active NPI
Rena Kornberg Wiseman, OT
- Hand Occupational Therapist
- N White Plains, NY
National Provider Identifier
1639343197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 6213459
- Practice address
- 7 Reservoir Rd
N White Plains, NY 10603-2522 - Phone
- (914) 948-7190
- Fax
- (914) 948-7491
- NPI assigned
- Apr 16, 2008
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 6213459 | NY | Primary |
Addresses
Primary practice location
7 Reservoir Rd
N White Plains, NY 10603-2522
Mailing address
7 Reservoir Rd
N White Plains, NY 10603-2522
Phone (914) 948-7190
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 |
|---|---|---|---|
| 6213459 | NY | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1639343197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 RESERVOIR RD",
"city": "N WHITE PLAINS",
"state": "NY",
"postal_code": "106032522",
"telephone_number": "914-948-7190",
"fax_number": "914-948-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 RESERVOIR RD",
"city": "N WHITE PLAINS",
"state": "NY",
"postal_code": "106032522",
"telephone_number": "914-948-7190",
"fax_number": "914-948-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNBERG WISEMAN",
"first_name": "RENA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "6213459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.