Individual provider Active NPI

Jocelyn Rose Rietcheck, OTR

  • Occupational Therapist
  • Lawrence, KS
National Provider Identifier
1093995854
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1700277 Issued in KS
Practice address
2200 Harvard Rd
Lawrence Therapy Services Suite 101
Lawrence, KS 66049
Phone
(785) 842-0656
Fax
(785) 842-0071
NPI assigned
Nov 9, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC000518 MO
Occupational Therapist 225X00000X 1700277 KS Primary

Addresses

Primary practice location

2200 Harvard Rd
Lawrence Therapy Services Suite 101
Lawrence, KS 66049

Mailing address

2200 Harvard Rd
Suite 101
Lawrence, KS 66049
Phone (785) 842-0656

Other identifiers 1

IdentifierTypeStateIssuer
115530OtherKSBLUE CROSS

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

LicenseStateTypeSpecialty
1700277KSMDOccupational Therapist
OC000518MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1093995854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HARVARD RD",
            "address_2": "SUITE 101",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-842-0656",
            "fax_number": "785-842-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARVARD RD",
            "address_2": "LAWRENCE THERAPY SERVICES SUITE 101",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-842-0656",
            "fax_number": "785-842-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETCHECK",
        "first_name": "JOCELYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "OC000518",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1700277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "115530",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.