Active NPI
Jennifer Ditscheit, OTR
- Occupational Therapist
- Melbourne, FL
National Provider Identifier
1659498533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12401
- Practice address
- 4001 Stack Blvd.
Melbourne, FL 32901 - Phone
- (321) 676-9011
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12401 | FL | Primary |
| Occupational Therapist | 225X00000X | 8352 | MA |
Addresses
Primary practice location
4001 Stack Blvd.
Melbourne, FL 32901
Mailing address
1670 Waldrep St.
Palm Bay, FL 32909
Phone (978) 697-7080
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12401 | FL | MD | Occupational Therapist |
| 8352 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659498533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 WALDREP ST.",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32909",
"telephone_number": "978-697-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 STACK BLVD.",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-676-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITSCHEIT",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "12401",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
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.