Active NPI
Priscilla C Rennie, OT/L
- Occupational Therapist
- Laconia, NH
National Provider Identifier
1700977634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0304
- Practice address
- 806 North Main Street
Laconia, NH 03246 - Phone
- (603) 524-9090
- Fax
- (603) 524-1497
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0304 | NH | Primary |
Addresses
Primary practice location
806 North Main Street
Laconia, NH 03246
Mailing address
806 North Main Street
Laconia, NH 03246
Phone (603) 524-9090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2486344 | Other | NH | AETNA |
| 1300449Y0NH01 | Other | NH | ANTHEM BC/BS |
| 30412209 | Medicaid | NH |
Other names 1
- Priscilla C Vogler
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0304 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boothby Therapy Services, LLC | Occupational Therapist | Past | Accepting new patients |
| Healthways Family Practice LLC | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Laconia, NH
- NPI 1770797094
-
- Family Medicine Physician
- Manchester, NH
- NPI 1073554770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1700977634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 NORTH MAIN STREET",
"city": "LACONIA",
"state": "NH",
"postal_code": "03246",
"telephone_number": "603-524-9090",
"fax_number": "603-524-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 NORTH MAIN STREET",
"city": "LACONIA",
"state": "NH",
"postal_code": "03246",
"telephone_number": "603-524-9090",
"fax_number": "603-524-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNIE",
"first_name": "PRISCILLA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "0304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2486344",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "1300449Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30412209",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRISCILLA",
"last_name": "VOGLER",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.