Active NPI
Jutta Brettschneider, OT
- Occupational Therapist
- Mitchellville, MD
National Provider Identifier
1821263039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05593
- Practice address
- 12140 Central Ave
Mitchellville, MD 20721-1932 - Phone
- (301) 581-8054
- Fax
- (301) 564-0284
- NPI assigned
- Apr 29, 2008
- 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 | 05593 | MD | Primary |
Addresses
Primary practice location
12140 Central Ave
Mitchellville, MD 20721-1932
Mailing address
6410 Rockledge Dr
NRH Regional Rehab - Suite 600
Bethesda, MD 20817-1809
Phone (301) 581-8054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7100 Baltimore Ave
Suite 207
College Park, MD 20740-3638
Phone (240) 328-8415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05593 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Movement Clinic LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7100 Baltimore Ave
Ste 207
College Park, MD 20740
Phone (240) 328-8415
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1821263039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "NRH REGIONAL REHAB - SUITE 600",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-581-8054",
"fax_number": "301-564-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12140 CENTRAL AVE",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211932",
"telephone_number": "301-581-8054",
"fax_number": "301-564-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETTSCHNEIDER",
"first_name": "JUTTA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.