Active NPI
Kevin Outzs, MSOTR
- Occupational Therapist
- Savannah, GA
National Provider Identifier
1053629345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2680
- Practice address
- 108 Blueleaf CT
Savannah, GA 31410-1745 - Phone
- (912) 819-6898
- NPI assigned
- Sep 20, 2010
- Last updated
- Sep 20, 2010
- Sex
- Male
- 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 | 2680 | GA | Primary |
Addresses
Primary practice location
108 Blueleaf CT
Savannah, GA 31410-1745
Mailing address
108 Blueleaf CT
Savannah, GA 31410-1745
Phone (912) 897-6697
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 |
|---|---|---|---|
| 2680 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1053629345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BLUELEAF CT",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101745",
"telephone_number": "912-897-6697",
"fax_number": "912-819-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BLUELEAF CT",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101745",
"telephone_number": "912-819-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTZS",
"first_name": "KEVIN",
"credential": "MSOTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "2680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.