Individual provider Active NPI

Deborah A Retzinger, OTL

  • Pediatric Occupational Therapist
  • Loveland, OH
National Provider Identifier
1104365436
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 3975 Issued in OH
Practice address
1216 Red Roan Dr
Loveland, OH 45140-9039
Phone
(513) 325-1440
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 3975 OH Primary

Addresses

Primary practice location

1216 Red Roan Dr
Loveland, OH 45140-9039

Mailing address

1216 Red Roan Dr
Loveland, OH 45140-9039
Phone (513) 325-1440

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
OT 3975OHMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1104365436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 RED ROAN DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409039",
            "telephone_number": "513-325-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 RED ROAN DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409039",
            "telephone_number": "513-325-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZINGER",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT 3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.