Active NPI
Renee Denise Ray, OTR
- Occupational Therapist
- Elizabethton, TN
National Provider Identifier
1811349186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2659
- Practice address
- 1975 W Elk Ave
Suite 1
Elizabethton, TN 37643-3787 - Phone
- (423) 543-0073
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- 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 Therapist | 225X00000X | 2659 | TN | Primary |
Addresses
Primary practice location
1975 W Elk Ave
Suite 1
Elizabethton, TN 37643-3787
Mailing address
1975 W Elk Ave
Suite 1
Elizabethton, TN 37643-3787
Phone (423) 543-0073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831109867 | Other | TN | NPI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6354 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1811349186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 W ELK AVE",
"address_2": "SUITE 1",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376433787",
"telephone_number": "423-543-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 W ELK AVE",
"address_2": "SUITE 1",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376433787",
"telephone_number": "423-543-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "RENEE",
"middle_name": "DENISE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1831109867",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.