Individual provider Active NPI

Laura Cabezas Urtz, OTR

  • Occupational Therapist
  • Charleston, SC
National Provider Identifier
1558489740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3108 Issued in SC
Practice address
1941 Savage Rd Ste 400C
Charleston, SC 29407-4791
Phone
(866) 571-2700
Fax
(866) 571-2124
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3108 SC Primary

Addresses

Primary practice location

1941 Savage Rd Ste 400C
Charleston, SC 29407-4791

Mailing address

PO Box 291537
Columbia, SC 29229-0026
Phone (803) 419-5175

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
3108SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558489740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291537",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290026",
            "telephone_number": "803-419-5175",
            "fax_number": "803-419-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 400C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074791",
            "telephone_number": "866-571-2700",
            "fax_number": "866-571-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URTZ",
        "first_name": "LAURA",
        "middle_name": "CABEZAS",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • 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.