Active NPI
Renee Niemiec, OTR/L
- Occupational Therapist
- Dallas, PA
National Provider Identifier
1992438006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002075L
- Practice address
- 64 Ridgway Dr Ste 1
Dallas, PA 18612-9263 - Phone
- (570) 255-4578
- Fax
- (570) 255-4575
- NPI assigned
- Jul 6, 2022
- 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 | OC002075L | PA | Primary |
Addresses
Primary practice location
64 Ridgway Dr Ste 1
Dallas, PA 18612-9263
Mailing address
814 Dale Dr
Scranton, PA 18504-2151
Phone (570) 499-5835
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 |
|---|---|---|---|
| OC002075L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1992438006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 DALE DR",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042151",
"telephone_number": "570-499-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 RIDGWAY DR STE 1",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129263",
"telephone_number": "570-255-4578",
"fax_number": "570-255-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMIEC",
"first_name": "RENEE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC002075L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.