Individual provider Active NPI

Mitzi Aiko Haite, OTR/L, CLT

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1285002105
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1943 Issued in NE
Practice address
910 S 40TH St
Omaha, NE 68105-1827
Phone
(402) 452-1400
NPI assigned
Sep 9, 2015
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1943 NE Primary

Addresses

Primary practice location

910 S 40TH St
Omaha, NE 68105-1827

Mailing address

309 S Grove St
Glenwood, IA 51534-1657
Phone (402) 452-1400

Other names 1

  • Mitzi Aiko Douthit Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1285002105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S GROVE ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341657",
            "telephone_number": "402-452-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S 40TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051827",
            "telephone_number": "402-452-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAITE",
        "first_name": "MITZI",
        "middle_name": "AIKO",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITZI",
            "last_name": "DOUTHIT",
            "middle_name": "AIKO",
            "credential": "OTR/L, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.