Active NPI
Carol E Tietzotr/Lpa
- Pediatric Occupational Therapist
- Spring Hill, FL
National Provider Identifier
1073654539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1010
- Legal business name
- CAROL E TIETZOTR/LPA
- Practice address
- 10521 Hearth Rd
Spring Hill, FL 34608-3714 - Phone
- (727) 375-0600
- Fax
- (727) 375-1117
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol E Tietz, OTR L
- Title
- Owner
- Phone
- (727) 809-3326
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT1010 | FL | Primary |
Addresses
Primary practice location
10521 Hearth Rd
Spring Hill, FL 34608-3714
Mailing address
6325 Montana Ave
New Port Richey, FL 34653-3833
Phone (727) 809-3326
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10655802 | Other | FL | CITRUS HEALTHCARE SH |
| 10655701 | Other | FL | CITRUS HEALTHCARE NPR |
| 885427100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549411200000",
"number": "1073654539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 MONTANA AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533833",
"telephone_number": "727-809-3326",
"fax_number": "727-845-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 HEARTH RD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346083714",
"telephone_number": "727-375-0600",
"fax_number": "727-375-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL E TIETZOTR/LPA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2019-02-06",
"status": "A",
"authorized_official_last_name": "TIETZ",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-809-3326",
"authorized_official_credential": "OTR L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT1010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HEALTHCARE SH",
"identifier": "10655802",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HEALTHCARE NPR",
"identifier": "10655701",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "885427100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.