Active NPI
Patty Anne Ottobre, COTA
- Occupational Therapy Assistant
- Venice, FL
National Provider Identifier
1083931893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA18458
- Practice address
- 1026 Albee Farm Rd
Venice, FL 34285-6213 - Phone
- (941) 484-0425
- NPI assigned
- May 3, 2010
- Last updated
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7288 | NC | MD | General Practice Dentistry |
| OTA18458 | FL | MD | Occupational Therapy Assistant |
| 004877 | MO | MD | Occupational 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.