Active NPI
Samuel Trenary, COTA
- Occupational Therapy Assistant
- Glen Burnie, MD
National Provider Identifier
1770047763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 16944
- Practice address
- 7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060 - Phone
- (410) 766-3460
- NPI assigned
- Jan 24, 2019
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 16944 | FL | Primary |
Addresses
Primary practice location
7355 E Furnace Branch Rd
Glen Burnie, MD 21060-7060
Mailing address
30845 Ward Rd
Salisbury, MD 21804-2753
Phone (410) 713-8745
Other practice location 1
650 Colbert Ln
Palm Coast, FL 32137-4501
Phone (386) 597-1588
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16944 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1770047763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30845 WARD RD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042753",
"telephone_number": "410-713-8745",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7355 E FURNACE BRANCH RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607060",
"telephone_number": "410-766-3460"
}
],
"practiceLocations": [
{
"address_1": "650 Colbert Ln",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321374501",
"country_code": "US",
"telephone_number": "386-597-1588",
"fax_number": "855-232-8604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRENARY",
"first_name": "SAMUEL",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "16944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.