Cody Robert Zietz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010104 Issued in MI

Practice address

6170 US Highway 31 N
Williamsburg, MI 49690-8306

Phone

(231) 421-5285

NPI assigned

Apr 10, 2018

Last updated

Apr 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1174020739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 S THOMAS RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486099703",
            "telephone_number": "989-928-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 US HIGHWAY 31 N",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496908306",
            "telephone_number": "231-421-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863059",
            "country_code": "US",
            "telephone_number": "231-486-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIETZ",
        "first_name": "CODY",
        "middle_name": "ROBERT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Vandenakker Jr., D.O.
• Steven Trent Vandeveer, RPH
• Therese Marie Schroeder Waters, P.T.
• Whitewater Township
• Julie Yaroch, LLPC

• Occupational Therapist in Williamsburg, MI
• Providers in Williamsburg, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.