Cathleen M Dezolt, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC004090L Issued in PA

Practice address

12400 High Bluff Drive
Suite 100
San Diego, CA 92130

Phone

(866) 756-0002

Fax

(972) 983-0290

NPI assigned

Mar 20, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy Choice, LLC

  • Physical Therapist
  • Newtown, PA
  • NPI 1609887579

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417072307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GRIST MILL ROAD",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "18255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DRIVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "866-756-0002",
            "fax_number": "972-983-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZOLT",
        "first_name": "CATHLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004090L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50067445",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Richard Deyoung, MD
• Jessica Louise Deyoung
• Tracey Honohan Deyoung, MD
• Juan Deza, M.D.
• Martin J Deza, LMFT
• Zubeda Dhada
• Amandeep Dhaliwal, D.P.T.
• Nikhil Dhall, MD
• Julian Dhanani
• Zehra Nizar Dhanani, MD

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• 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.