Patricia Marie Renner, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6780 Issued in CA

Practice address

2700 Dolbeer St
Eureka, CA 95501-4736

Phone

(707) 445-8121

NPI assigned

Dec 18, 2023

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

Other names 1

• Patricia M Wilcox Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sequoia Strength Physical Therapy IncGroup PAC ID 1557731684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sequoia Strength Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Eureka, CA
  • NPI 1801503164
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1861260127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 AVERY CT",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402449",
            "telephone_number": "707-499-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 DOLBEER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014736",
            "telephone_number": "707-445-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2082 Sweet Ln",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955036086",
            "country_code": "US",
            "telephone_number": "707-440-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WILCOX",
            "middle_name": "M",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Frederick Remen
• Remi Vista Inc.
• Remi Vista, Inc.
• Suzanne Marie Remington I, LCSW
• Jelissa Rempojo, LMFT
• Andrew G. Renouf, PH.D.
• Gigetta A Repetto I, MENTAL HEALTH WORKER
• May Reuther, AMFT
• Dorinda Kay Reveles, R.N.
• Christine Rex

• Occupational Therapist in Eureka, CA
• Providers in Eureka, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.