Individual provider Active NPI

Regina Chandler Lutenbacher, M.S., OTR/L

  • Pediatric Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1124383500
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2184 Issued in AL
Practice address
1720 2ND Ave S
CH 19 307
Birmingham, AL 35233-1806
Phone
(205) 975-0466
Fax
(205) 975-2380
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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 2184 AL Primary

Addresses

Primary practice location

1720 2ND Ave S
CH 19 307
Birmingham, AL 35233-1806

Mailing address

1720 2ND Ave S
CH 19 307
Birmingham, AL 35233-1806
Phone (205) 975-0466

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2184ALMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1124383500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "CH 19 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331806",
            "telephone_number": "205-975-0466",
            "fax_number": "205-975-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "CH 19 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331806",
            "telephone_number": "205-975-0466",
            "fax_number": "205-975-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTENBACHER",
        "first_name": "REGINA",
        "middle_name": "CHANDLER",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.