Colleen Renie, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31001030A Issued in IN

Practice address

1025 E 54TH St
Indianapolis, IN 46220-3219

Phone

(317) 584-5166

Fax

(317) 815-3861

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bierman ABA Inc.

  • Developmental Disabilities Clinic/Center
  • Westfield, IN
  • NPI 1114285855

  Occupational Therapist

  NPD (past)
• Bierman ABA, Inc.

  dba Bierman ABA Autism Center

  • Developmental Disabilities Clinic/Center
  • Needham Heights, MA
  • NPI 1528500303
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1790160562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 SOUTHPARK DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748396",
            "telephone_number": "317-584-5166",
            "fax_number": "317-815-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 54TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203219",
            "telephone_number": "317-584-5166",
            "fax_number": "317-815-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENIE",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001030A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew and Restore Therapeutic Services
• Renew Dental Arts, LLC
• Renew Life Concepts, LLC
• Renewed & Rooted Counseling, Consulting, & Education LLC
• Leslie Ann Renfro, M.D.
• Michal Renihan
• Alyssa Kiann Rennaker, LMHC
• Luann Renner, RN
• Brittany Lynn Rennier, NP
• Evelyn Renninger

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.