Active NPI
Alison Kirk Renwick
- Occupational Therapist
- Oneida, NY
National Provider Identifier
1952479677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0032771
- Practice address
- 588 Broad St
Oneida, NY 13421 - Phone
- (315) 363-9281
- Fax
- (315) 363-9286
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225X00000X | 0032771 | NY | Primary |
Addresses
Primary practice location
588 Broad St
Oneida, NY 13421
Mailing address
701 Lenox Ave
Oneida, NY 13421
Phone (315) 363-9281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06300003277 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003277 | NY | MD | Mental Health Counselor |
| 0032771 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952479677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LENOX AVE",
"city": "ONEIDA",
"state": "NY",
"postal_code": "13421",
"telephone_number": "315-363-9281",
"fax_number": "315-363-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 BROAD ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "13421",
"telephone_number": "315-363-9281",
"fax_number": "315-363-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENWICK",
"first_name": "ALISON",
"middle_name": "KIRK",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0032771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06300003277",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.