Individual provider Active NPI

Renae A.M. Sheldon Banach

  • Occupational Therapy Assistant
  • Dunkirk, NY
National Provider Identifier
1871738641
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
004737 Issued in NY
Practice address
423 Main St
Occupational Therapy & Hand Rehabilitation
Dunkirk, NY 14048-2720
Phone
(716) 366-3417
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 004737 NY Primary

Addresses

Primary practice location

423 Main St
Occupational Therapy & Hand Rehabilitation
Dunkirk, NY 14048-2720

Mailing address

423 Main St
Occupational Therapy & Hand Rehabilitation
Dunkirk, NY 14048-2720
Phone (716) 366-3417

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1871738641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MAIN ST",
            "address_2": "OCCUPATIONAL THERAPY & HAND REHABILITATION",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482720",
            "telephone_number": "716-366-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MAIN ST",
            "address_2": "OCCUPATIONAL THERAPY & HAND REHABILITATION",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482720",
            "telephone_number": "716-366-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON BANACH",
        "first_name": "RENAE",
        "middle_name": "A.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "004737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.