Active NPI
Jaime Kutzura, COTA
- Occupational Therapy Assistant
- Fountain Hill, PA
National Provider Identifier
1366875684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP007666
- Practice address
- 724 Delaware Ave
Fountain Hill, PA 18015-1108 - Phone
- (610) 691-6700
- NPI assigned
- Aug 11, 2013
- Reactivated
- Apr 8, 2022
- 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 Therapy Assistant | 224Z00000X | OP007666 | PA | Primary |
Addresses
Primary practice location
724 Delaware Ave
Fountain Hill, PA 18015-1108
Mailing address
1678 Pleasant View Rd
Bethlehem, PA 18015-5833
Phone (610) 838-5210
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 |
|---|---|---|---|
| OP007666 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1366875684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1678 PLEASANT VIEW RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180155833",
"telephone_number": "610-838-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 DELAWARE AVE",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "180151108",
"telephone_number": "610-691-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTZURA",
"first_name": "JAIME",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-11",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"deactivation_date": "2013-10-22",
"reactivation_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP007666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.