Jennifer Eliza Renker, OTR/L
Individual provider Active NPI Occupational Therapist · Ossian, IN
NPI 1780108142 · NPPES record last updated Jul 27, 2017
Key facts
- NPI
- 1780108142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 021619-1 (NY)
- Practice address
- 3900 E 900 N
Ossian, IN 46777-9253 - Phone
- (260) 241-7887
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
25 Cobb St
Mansfield, MA 02048-4505
Phone (508) 471-5392
86 Saunders Rd
Norwood, MA 02062-3242
Phone (781) 285-7950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230109002844 | MA | Practitioner - Occupational Therapist in Private Practice | 4981074994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021619-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 021619-1 | NY | Yes |
Addresses
Primary practice location
3900 E 900 N
Ossian, IN 46777-9253
Mailing address
3900 E 900 N
Ossian, IN 46777-9253
Phone (260) 241-7887
Other providers in Ossian, IN
- Bridget Niezer
- Northern Wells Community Schools
- Ossian Family Eyecare PC
- Ossian Smile Family Dentistry
- Brian Overholt
- Riverview Hospital
- Jodi Lea Rogers
- Shayanne Roth
- Edward John Schneider
- Still Waters Family Dentistry, PC
All providers in Ossian, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.