Active NPI
Renee Cassuto, OTR
- Occupational Therapist
- Hollywood, FL
National Provider Identifier
1891236675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 18269
- Practice address
- 53 Ash Dr
Hollywood, FL 33026-1102 - Phone
- (914) 357-0410
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OT 18269 | FL | Primary |
Addresses
Primary practice location
53 Ash Dr
Hollywood, FL 33026-1102
Mailing address
53 Ash Dr
Hollywood, FL 33026-1102
Phone (914) 357-0410
Other names 1
- Renee Campolongo
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 18269 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1891236675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 ASH DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330261102",
"telephone_number": "914-357-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 ASH DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330261102",
"telephone_number": "914-357-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSUTO",
"first_name": "RENEE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 18269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "CAMPOLONGO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.