Individual provider Active NPI

Mica Rutschke, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1639985625
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110994 Issued in TX
Practice address
9577 Huebner Rd Ste 4
San Antonio, TX 78240-1688
Phone
(210) 228-0030
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 110994 TX Primary

Addresses

Primary practice location

9577 Huebner Rd Ste 4
San Antonio, TX 78240-1688

Mailing address

803 Evian
San Antonio, TX 78260-3578
Phone (480) 259-6785

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
110994TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy El-Hitamy Amir, CurrentSince Dec 8, 2024 Accepting new patients

Locations

9577 Huebner Rd
Ste 4
San Antonio, TX 78240
Phone (210) 228-0030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1639985625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 EVIAN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603578",
            "telephone_number": "480-259-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9577 HUEBNER RD STE 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401688",
            "telephone_number": "210-228-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTSCHKE",
        "first_name": "MICA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.