Active NPI
Hope Renewed Therapy and Wellness Center PLLC
- Occupational Therapist
- Edmond, OK
National Provider Identifier
1730696121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 133
- Legal business name
- HOPE RENEWED THERAPY AND WELLNESS CENTER PLLC
- Practice address
- 515 S Santa Fe Ave Ste 103
Edmond, OK 73003-6286 - Phone
- (405) 589-5922
- NPI assigned
- Jan 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Diane Pennington, OT
- Title
- Owner
- Phone
- (405) 589-5922
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 133 | OK | Primary |
Addresses
Primary practice location
515 S Santa Fe Ave Ste 103
Edmond, OK 73003-6286
Mailing address
515 S Santa Fe Ave Ste 103
Edmond, OK 73003-6286
Phone (405) 589-5922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
515 S Santa Fe Ave
Ste 1
Edmond, OK 73003
515 S Santa Fe Ave
Ste 103
Edmond, OK 73003
Phone (405) 458-0511
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Edmond, OK
- NPI 1861904021
-
- Occupational Therapist
- Edmond, OK
- NPI 1215590591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515283200000",
"number": "1730696121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S SANTA FE AVE STE 103",
"city": "EDMOND",
"state": "OK",
"postal_code": "730036286",
"telephone_number": "405-589-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S SANTA FE AVE STE 103",
"city": "EDMOND",
"state": "OK",
"postal_code": "730036286",
"telephone_number": "405-589-5922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE RENEWED THERAPY AND WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-07",
"last_updated": "2018-01-07",
"status": "A",
"authorized_official_last_name": "PENNINGTON",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-589-5922",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "OK",
"license": "133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.