Individual provider Active NPI

Alexandria Renieris

  • Occupational Therapist
  • Brightwaters, NY
National Provider Identifier
1760165526
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027195 Issued in NY
Practice address
234 Orinoco Dr
Brightwaters, NY 11718-1822
Phone
(631) 300-0797
NPI assigned
Aug 9, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 027195 NY Primary

Addresses

Primary practice location

234 Orinoco Dr
Brightwaters, NY 11718-1822

Mailing address

234 Orinoco Dr
Brightwaters, NY 11718-1822
Phone (631) 300-0797

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehabilitation of Long Island CurrentSince Feb 18, 2024 Accepting new patients
Digestive Disease Care, PC PastSince Feb 18, 2024 Accepting new patients

Locations

234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079

319 E Main St
Patchogue, NY 11772
Phone (631) 300-0797

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1760165526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181822",
            "telephone_number": "631-300-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181822",
            "telephone_number": "631-300-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENIERIS",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brightwaters, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.