Individual provider Active NPI

Kathleen Lotz, OTR/L

  • Pediatric Occupational Therapist
  • Liberty TWP, OH
National Provider Identifier
1396167136
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
004786 Issued in OH
Practice address
6040 Princeton Rd
Liberty TWP, OH 45011-9396
Phone
(513) 777-6194
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 004786 OH Primary

Addresses

Primary practice location

6040 Princeton Rd
Liberty TWP, OH 45011-9396

Mailing address

5710 Sage Meadow CT
West Chester, OH 45069-5549
Phone (513) 375-2264

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

LicenseStateTypeSpecialty
004786OHMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1396167136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SAGE MEADOW CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695549",
            "telephone_number": "513-375-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PRINCETON RD",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450119396",
            "telephone_number": "513-777-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTZ",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "004786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.