Active NPI
Rita L. Guettermann, CHT; OTR/L
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1730105321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2588
- Practice address
- 4520 Executive Drive
Suite 101
San Diego, CA 92121 - Phone
- (858) 535-1075
- Fax
- (858) 453-9810
- NPI assigned
- Jul 15, 2006
- 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 | OT2588 | CA | Primary |
| Hand Occupational Therapist | 225XH1200X | OT2588 | CA |
Addresses
Primary practice location
4520 Executive Drive
Suite 101
San Diego, CA 92121
Mailing address
9850 Genesee Avenue
Suite 210
La Jolla, CA 92037
Phone (858) 535-1075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WOT2588B | Other | PPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9850 Genesee Ave
La Jolla, CA 92037-1206
Phone (858) 535-1075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2588 | CA | MD | Professional Counselor |
| OT2588 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrey Pines Orthopaedic Medical Group Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- La Jolla, CA
- NPI 1982749586
-
- Orthopaedic Surgery Physician
- La Jolla, CA
- NPI 1942344791
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1730105321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVENUE",
"address_2": "SUITE 210",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-535-1075",
"fax_number": "858-453-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 EXECUTIVE DRIVE",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121",
"telephone_number": "858-535-1075",
"fax_number": "858-453-9810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUETTERMANN",
"first_name": "RITA",
"middle_name": "L.",
"credential": "CHT; OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT2588",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT2588",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WOT2588B",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.