Provider Demographics
NPI:1942309513
Name:SCHATZ, RANDI (OTR)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 PARK AVE
Mailing Address - Street 2:APT 5J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1308
Mailing Address - Country:US
Mailing Address - Phone:212-996-2146
Mailing Address - Fax:
Practice Address - Street 1:6 E 45TH ST
Practice Address - Street 2:SUITE 1205
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2414
Practice Address - Country:US
Practice Address - Phone:212-661-2933
Practice Address - Fax:212-661-2935
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003203-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5654479OtherCIGNA
NY5654479OtherCIGNA