Renee Marciele Perovich, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9389 Issued in NC

Practice address

1700 Pamalee Dr
Fayetteville, NC 28301-2824

Phone

(910) 488-2295

NPI assigned

Nov 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Renee Manus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1649609454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BRISTLECONE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117697",
            "telephone_number": "951-870-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PAMALEE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283012824",
            "telephone_number": "910-488-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROVICH",
        "first_name": "RENEE",
        "middle_name": "MARCIELE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001688",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "9389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "MANUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valen Perez
• Gregory Eugene Perkins, LCASA, LAPSW
• Juanita Frazier Perkins, FNP
• Lisa Perkins, PLCSW
• Balichand Permashwar, M.D.
• Brianna Perreira
• Terezinha Machado Perritt, M.D.
• Perruque Boutique
• Audrea Perry
• Chailendra Perry, NP

• Occupational Therapy Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.