Renee Nicole Daddona, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R4984 Issued in KY

Practice address

1024 Frontier Trail
Greenville, IN 47124

Phone

(812) 989-2199

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Renee Nicole Samples Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sense Play Learn

  • Early Intervention Provider Agency
  • Greenville, IN
  • NPI 1528419850
  NPD (past) Authorized official

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1689958944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 FRONTIER TRL",
            "city": "GREENVILLE",
            "state": "IN",
            "postal_code": "471248616",
            "telephone_number": "812-989-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 FRONTIER TRAIL",
            "city": "GREENVILLE",
            "state": "IN",
            "postal_code": "47124",
            "telephone_number": "812-989-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADDONA",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R4984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SAMPLES",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Lynn Allen, OTR
• Annette Baldwin, M.S.,CCC/SLP
• Leslie Jean Durham, RPH
• Diane Kay Forler, RPH
• Gibbs Treatment Solutions
• Gibbs Treatment Solutions
• Kelly Hampton, AGPCNP-BC

• Occupational Therapist in Greenville, IN
• Providers in Greenville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.