Active NPI
Janice Louise Lotz, PT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1174802664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- R0920
- Practice address
- 9645 Big Bend Blvd
Saint Louis, MO 63122-6521 - Phone
- (314) 446-2182
- NPI assigned
- Aug 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | R0920 | MO | Primary |
Addresses
Primary practice location
9645 Big Bend Blvd
Saint Louis, MO 63122-6521
Mailing address
47 Holly Dr
Webster Groves, MO 63119-4636
Phone (314) 517-6190
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 |
|---|---|---|---|
| R0920 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1174802664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 HOLLY DR",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631194636",
"telephone_number": "314-517-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9645 BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631226521",
"telephone_number": "314-446-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTZ",
"first_name": "JANICE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "R0920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.