Individual provider Active NPI

Debra Johnson Kotter, RRT

  • Registered Respiratory Therapist
  • Land O Lakes, FL
National Provider Identifier
1063558534
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT13229 Issued in FL
Practice address
20651 Lake Patience Rd
Land O Lakes, FL 34638-3581
Phone
(747) 800-1574
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT13229 FL Primary

Addresses

Primary practice location

20651 Lake Patience Rd
Land O Lakes, FL 34638-3581

Mailing address

20651 Lake Patience Rd
Land O Lakes, FL 34638-3581
Phone (747) 800-1574

Other identifiers 1

IdentifierTypeStateIssuer
885850100MedicaidFL

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
RT13229FLMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RT Therapy LLC Respiratory Therapist, Registered Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1063558534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20651 LAKE PATIENCE RD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383581",
            "telephone_number": "747-800-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20651 LAKE PATIENCE RD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383581",
            "telephone_number": "747-800-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTER",
        "first_name": "DEBRA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT13229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885850100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.