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1154686616 NPI number — AUSTIN ROBERT FIECHTER COTA

NPI Number: 1154686616
Health Care Provider/Practitioner: AUSTIN ROBERT FIECHTER COTA

Information about “1154686616” NPI (AUSTIN ROBERT FIECHTER COTA) exists in 1154686616 in HTML format HTML  |  1154686616 in plain Text format TXT  |  1154686616 in PDF (Portable Document Format) PDF  |  1154686616 in an XML format XML  formats.

NPI Number : 1154686616 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154686616",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FIECHTER",
    "FirstName": "AUSTIN",
    "MiddleName": "ROBERT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "COTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2601 E CENTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLUFFTON",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46714-9249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "260-804-2079",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "701 HENRY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH VERNON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47265-1095",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "812-346-9333",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/11/2012",
    "LastUpdateDate": "07/11/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "32002030A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "224ZE0001X",
          "TaxonomyName": "Environmental Modification Occupational Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224ZF0002X",
          "TaxonomyName": "Feeding, Eating & Swallowing Occupational Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224ZL0004X",
          "TaxonomyName": "Low Vision Occupational Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224ZR0403X",
          "TaxonomyName": "Driving and Community Mobility Occupational Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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