Individual provider Active NPI

Patty Anne Ottobre, COTA

  • Occupational Therapy Assistant
  • Venice, FL
National Provider Identifier
1083931893
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA18458 Issued in FL
Practice address
1026 Albee Farm Rd
Venice, FL 34285-6213
Phone
(941) 484-0425
NPI assigned
May 3, 2010
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7288 NC
Occupational Therapy Assistant 224Z00000X 004877 MO
Occupational Therapy Assistant 224Z00000X OTA18458 FL Primary

Addresses

Primary practice location

1026 Albee Farm Rd
Venice, FL 34285-6213

Mailing address

3126 Meadow Run Dr
Venice, FL 34293-1487
Phone (252) 562-1171

Other practice location 1

841 Venetia Bay Blvd
Venice, FL 34285-8038
Phone (941) 378-5757

Other practice location 2

1075 US Highway 17 S
Elizabeth City, NC 27909-7628
Phone (252) 562-0093

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7288NCMDGeneral Practice Dentistry
OTA18458FLMDOccupational Therapy Assistant
004877MOMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1083931893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 MEADOW RUN DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931487",
            "telephone_number": "252-562-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 ALBEE FARM RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856213",
            "telephone_number": "941-484-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Venetia Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858038",
            "country_code": "US",
            "telephone_number": "941-378-5757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 US Highway 17 S",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279097628",
            "country_code": "US",
            "telephone_number": "252-562-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTOBRE",
        "first_name": "PATTY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2023-05-16",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "7288",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "004877",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.