Individual provider Active NPI

Callie Rittenbacher, OTR/L

  • Occupational Therapist
  • Cape Coral, FL
National Provider Identifier
1053980516
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21898 Issued in FL
Practice address
2328 Hancock Bridge Pkwy Ste 103
Cape Coral, FL 33990-1455
Phone
(239) 574-7557
NPI assigned
Jun 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT21898 FL Primary

Addresses

Primary practice location

2328 Hancock Bridge Pkwy Ste 103
Cape Coral, FL 33990-1455

Mailing address

2328 Hancock Bridge Pkwy Ste 103
Cape Coral, FL 33990-1455
Phone (239) 574-7557

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

LicenseStateTypeSpecialty
14795NCMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1053980516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 HANCOCK BRIDGE PKWY STE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901455",
            "telephone_number": "239-574-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 HANCOCK BRIDGE PKWY STE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901455",
            "telephone_number": "239-574-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENBACHER",
        "first_name": "CALLIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.