Chelsea Otte, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00229900 Issued in NJ

Practice address

535 High Mountain Rd Ste 104
North Haledon, NJ 07508-2652

Phone

(973) 423-9001

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wolke Chiropractic & Rehabilitation, P.C.

  • Chiropractor
  • Verona, NJ
  • NPI 1881032019
  NPD (past)
• Wolke Chiropractic & Rehabilitation, PC

  • Chiropractor
  • Haledon, NJ
  • NPI 1366511248
  NPD (past)

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1033613856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FREDERICK AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061228",
            "telephone_number": "973-459-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD STE 104",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082652",
            "telephone_number": "973-423-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTE",
        "first_name": "CHELSEA",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00229900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC AT CERTIFICATION",
            "identifier": "2000025992",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ BOARD OF MEDICAL EXAMINERS",
            "identifier": "25MT00229900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathlene Margaret Nagy
• North Haledon Dental LLC
• North Haledon Medical
• Carmen John Occhiuzzi, D.C.
• Optimum Vitality
• Evelyn Paz
• Peter Perera, D.M.D., PA.
• Barbara A. Porcelli, LCSW
• Jennifer Puskas, LCSW
• R & a Staffing LLC

• Athletic Trainer in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.