Active NPI
Christopher Andrew Otto, P.T.
- Physical Therapist
- Sheldon, IA
National Provider Identifier
1083671705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03328
- Practice address
- 118 N 7TH Ave
Sheldon, IA 51201-1235 - Phone
- (712) 324-5041
- Fax
- (712) 324-6025
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03328 | IA | Primary |
Addresses
Primary practice location
118 N 7TH Ave
Sheldon, IA 51201-1235
Mailing address
118 N 7TH Ave
Sheldon, IA 51201-1235
Phone (712) 324-5041
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0601260 | Medicaid | IA | |
| 0803635 | Medicaid | IA | |
| 0655407 | Medicaid | IA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083671705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N 7TH AVE",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-5041",
"fax_number": "712-324-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N 7TH AVE",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-5041",
"fax_number": "712-324-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "CHRISTOPHER",
"middle_name": "ANDREW",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0601260",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803635",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655407",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.