Antonia Christine Krotzer, COTA/L

Primary specialty

Recreational Therapist AssistantTaxonomy code 226000000X

License

006750 Issued in AZ

Practice address

4870 N Litchfield Rd Ste B101
Litchfield Park, AZ 85340-5041

Phone

(623) 935-6040

Fax

(480) 553-9334

NPI assigned

Jul 3, 2020

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)

Enrolled

State licenses

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1376160507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W WINCHCOMB DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235957",
            "telephone_number": "602-668-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 N LITCHFIELD RD STE B101",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405041",
            "telephone_number": "623-935-6040",
            "fax_number": "480-553-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTZER",
        "first_name": "ANTONIA",
        "middle_name": "CHRISTINE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "AZ",
            "license": "006750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recreational Therapist Assistant in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Recreational Therapist Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.