Individual provider Active NPI

Angela Denise Fritz, C.O.T.A/L

  • Occupational Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1831459981
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
03889 Issued in OH
Practice address
21 E Lake Shore Dr Apt 34
Cincinnati, OH 45237-1550
Phone
(423) 240-6505
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 03889 OH Primary

Addresses

Primary practice location

21 E Lake Shore Dr Apt 34
Cincinnati, OH 45237-1550

Mailing address

21 E Lake Shore Dr Apt 34
Cincinnati, OH 45237-1550
Phone (423) 240-6505

Other identifiers 1

IdentifierTypeStateIssuer
03889OtherOHCOTA/L

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
03889OHMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1831459981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E LAKE SHORE DR APT 34",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452371550",
            "telephone_number": "423-240-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E LAKE SHORE DR APT 34",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452371550",
            "telephone_number": "423-240-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "name_prefix": "Miss",
        "credential": "C.O.T.A/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "03889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L",
            "identifier": "03889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.