Rhonda Diane Pennington, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

133 Issued in OK

Practice address

515 S Santa Fe Ave Ste 103
Edmond, OK 73003

Phone

(405) 657-2310

Fax

(405) 657-2610

NPI assigned

Oct 27, 2017

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Renewed Therapy and Wellness Center PLLC

  • Occupational Therapist
  • Edmond, OK
  • NPI 1730696121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1861904021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 HARRIS DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S SANTA FE AVE STE 103",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73003",
            "telephone_number": "405-657-2310",
            "fax_number": "405-657-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "RHONDA",
        "middle_name": "DIANE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200755080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Peitzmeier
• Marques Ashton Pena, MD
• Megan Abagail Pena
• Joseph William Penn
• Kelsey C Pennell
• Ronald Gene Pense II
• People First Health Care Inc. Dba Reach Out Street Medicine Clinic (Reach Out Street Medicine Clinic)
• Perceptions Counseling and Consulting LLC
• Jedidiah J Perdue, MD, MPH
• Jamie Perez

• Occupational Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.