Renee Ann Green, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A01974 Issued in MD

Practice address

19406 Toms Hollow Rd SW
Rawlings, MD 21557-1508

Phone

(301) 876-7446

NPI assigned

Nov 30, 2012

Last updated

Nov 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1689919748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19406 TOMS HOLLOW RD SW",
            "city": "RAWLINGS",
            "state": "MD",
            "postal_code": "215571508",
            "telephone_number": "301-876-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19406 TOMS HOLLOW RD SW",
            "city": "RAWLINGS",
            "state": "MD",
            "postal_code": "215571508",
            "telephone_number": "301-876-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A01974",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "1846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen P Fike
• Amanda Eileen Rose Friend
• Angela Faye Lehr
• Joseph Robert Meade
• Mary Katherine Michaels
• Next Summit Behavioral Health Services, LLC
• Maria Michelle Quinn

• Occupational Therapy Assistant in Rawlings, MD
• Providers in Rawlings, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.