Active NPI
Renee E Rettler, O.T.R.
- Neurorehabilitation Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1992750988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 2869-026
- Practice address
- 2025 E Newport Ave
Milwaukee, WI 53211-2906 - Phone
- (414) 298-6798
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 2869-026 | WI | Primary |
Addresses
Primary practice location
2025 E Newport Ave
Milwaukee, WI 53211-2906
Mailing address
1923 N 70TH St
Wauwatosa, WI 53213-1944
Phone (414) 298-6798
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 |
|---|---|---|---|
| 2869-026 | WI | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992750988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 N 70TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131944",
"telephone_number": "414-298-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 E NEWPORT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532112906",
"telephone_number": "414-298-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTLER",
"first_name": "RENEE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "WI",
"license": "2869-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
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.