CASSANDRA DETTWILLER, COTA/L — NPI 1447617592 (Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) in GREENFIELD, OH)

CMS-1500 Box 24J / 33a • NPI

1447617592

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

314000000X (CMS A1[8])

Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)

Box 32 Service Location & ZIP+4

850 NELLIE ST, GREENFIELD, OH, 45123-1567

✓ 9-Digit EDI 837 ZIP+4 (45123-1567)

Practice Phone & Referral Fax

(937) 981-2165

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1447617592 (CASSANDRA DETTWILLER, COTA/L) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1447617592` (NPI-1 Individual Practitioner)
Provider / Legal Name	CASSANDRA DETTWILLER, COTA/L
Plain-English Specialty	Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: `314000000X` (Skilled Nursing Facility)
Certifying / Licensing Body	CMS Five-Star Quality Rating System / State Department of Health
Practice Location Address	850 NELLIE ST, GREENFIELD, OH, 45123-1567
Practice Telephone / Fax	Tel: (937) 981-2165
Administrative Mailing Address	9211 SNAKE RD, GREENFIELD, OH, 45123-9593
Enumeration & Last Sync	Enumerated: 2016-01-20 \| CMS Record Updated: 2016-01-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

850 NELLIE ST, GREENFIELD, OH, 45123-1567

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Plain-English Taxonomy & CMS Crosswalk (314000000X)

What Does Taxonomy Code 314000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A1[8] (Skilled Nursing Facility)
Certifying / Accrediting Authority: CMS Five-Star Quality Rating System / State Department of Health
Clinical Scope: Inpatient rehabilitation and 24-hour skilled nursing care following major surgery, stroke, or prolonged hospitalization.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CASSANDRA DETTWILLER, COTA/L)

Typical CPT / Diagnostic Procedures:

24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation

Common Therapeutic Classes:

Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: OH \| License: `04249` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CASSANDRA DETTWILLER, COTA/L (NPI #1447617592)