Active NPI
Renae A.M. Sheldon Banach
- Occupational Therapy Assistant
- Dunkirk, NY
National Provider Identifier
1871738641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 004737
- 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
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 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.