Active NPI
Kathleen Gittinger, OTR/L
- Occupational Therapist
- Elyria, OH
National Provider Identifier
1144641804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12141
- Practice address
- 366 Morgan Ave
Elyria, OH 44035-2642 - Phone
- (321) 258-1280
- NPI assigned
- Dec 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12141 | FL | Primary |
| Occupational Therapist | 225X00000X | 003691 | OH |
Addresses
Primary practice location
366 Morgan Ave
Elyria, OH 44035-2642
Mailing address
366 Morgan Avenue
Elyria, OH 44035
Phone (321) 258-1280
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12141 | FL | MD | Occupational Therapist |
| 003691 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1144641804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 MORGAN AVENUE",
"city": "ELYRIA",
"state": "OH",
"postal_code": "44035",
"telephone_number": "321-258-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 MORGAN AVE",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352642",
"telephone_number": "321-258-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTINGER",
"first_name": "KATHLEEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "12141",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "003691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.