Deloris Pietzsch, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

616 Issued in KS

Practice address

1112 W 6TH St
Suite 120
Lawrence, KS 66044-2215

Phone

(785) 749-1300

Fax

(785) 749-4746

NPI assigned

Sep 26, 2006

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316048622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 120",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 120",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETZSCH",
        "first_name": "DELORIS",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Ann Phillips, R.N., M.S.N., F.N.P.
• Blake Gordon Phipps, M.D.
• Bradley G. Phipps, MD
• Carla B Phipps, MD
• Jordan Phipps
• Kathryn L. Pike
• Cleve Richard Pilakowski, D.P.M.
• Julia Pilant
• Pioneer Ridge Assisted Living Operations, LLC
• Pioneer Ridge Nursing Facility Operations, LLC

• All providers in Lawrence, KS
• Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.