Active NPI
Linda Diane Radetsky, OT
- Occupational Therapist
- Austin, TX
National Provider Identifier
1457488801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104081
- Practice address
- 9718B Sugar Hill Dr
Austin, TX 78748-5834 - Phone
- (512) 699-0472
- NPI assigned
- Feb 27, 2007
- 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 Therapist | 225X00000X | 104081 | TX | Primary |
Addresses
Primary practice location
9718B Sugar Hill Dr
Austin, TX 78748-5834
Mailing address
9718B Sugar Hill Dr
Austin, TX 78748-5834
Phone (512) 699-0472
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1457488801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9718B SUGAR HILL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485834",
"telephone_number": "512-699-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9718B SUGAR HILL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485834",
"telephone_number": "512-699-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADETSKY",
"first_name": "LINDA",
"middle_name": "DIANE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "104081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.