Active NPI
Cynthia Comeau Divitto, OTR
- Occupational Therapist
- Bowling Green, OH
National Provider Identifier
1346453172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4092
- Practice address
- 11080 E Gypsy Lane Rd
Bowling Green, OH 43402-9564 - Phone
- (419) 353-8411
- Fax
- (419) 352-9403
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4092 | OH | Primary |
Addresses
Primary practice location
11080 E Gypsy Lane Rd
Bowling Green, OH 43402-9564
Mailing address
379 Overlook Dr
Waterville, OH 43566-1518
Phone (419) 340-7039
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 |
|---|---|---|---|
| 4092 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Blanchard Valley LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Findlay, OH
- NPI 1689835415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346453172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 OVERLOOK DR",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435661518",
"telephone_number": "419-340-7039",
"fax_number": "419-352-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11080 E GYPSY LANE RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434029564",
"telephone_number": "419-353-8411",
"fax_number": "419-352-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVITTO",
"first_name": "CYNTHIA",
"middle_name": "COMEAU",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "4092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- 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.