Renew Ability OT, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RENEW ABILITY OT, LLC

Practice address

17217 Emerson Dr
Silver Spring, MD 20905-3752

Phone

(301) 538-1330

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Gubisch, PH.D, OTR/LNPI 1295901825

Title

Occupational Therapist

Phone

(301) 538-1330

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Doyle Gubisch, PH.D, OTR/L

  • Occupational Therapist
  • Silver Spring, MD
  • NPI 1295901825
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1831851336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17217 EMERSON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053752",
            "telephone_number": "301-538-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17217 EMERSON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053752",
            "telephone_number": "301-538-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW ABILITY OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "GUBISCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "301-538-1330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.