Individual provider Active NPI

Deborah L Dinzebach, OT

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1427226794
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002775 Issued in MO
Practice address
4444 Forest Park Ave
Ste 2210
Saint Louis, MO 63108-2212
Phone
(314) 286-1669
Fax
(314) 289-6131
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002775 MO Primary

Addresses

Primary practice location

4444 Forest Park Ave
Ste 2210
Saint Louis, MO 63108-2212

Mailing address

4444 Forest Park Ave
Ste 2210
Saint Louis, MO 63108-2212
Phone (314) 286-1669

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002775MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Occupational Therapist CurrentSince Nov 2, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jul 2, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jul 2, 2024 Accepting new patients
Washington University CurrentSince Nov 2, 2021 Accepting new patients
Rehabilitation Professionals Inc Occupational Therapist Past Accepting new patients

Locations

6311 N Cosby Ave
Kansas City, MO 64151
Phone (816) 505-3030

6825 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 383-4765

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

4444 Forest Park Ave
#8505
Saint Louis, MO 63108
Phone (314) 286-1612

4444 Forest Park Ave
Ste 2206
Saint Louis, MO 63108

4444 Forest Park Ave
Ste 2210
Saint Louis, MO 63108
Phone (314) 203-6250

1631 A Roy Dr
Washington, MO 63090

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1427226794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "address_2": "STE 2210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-286-1669",
            "fax_number": "314-289-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "address_2": "STE 2210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-286-1669",
            "fax_number": "314-289-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINZEBACH",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "002775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4444 Forest Park Ave",
            "address_2": "Ste 2210",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.