Active NPI
Deborah K Ott, P.T.
- Pediatric Physical Therapist
- Pipersville, PA
National Provider Identifier
1104982248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT003131L
- Practice address
- 5732 Stump Rd
Pipersville, PA 18947-1004 - Phone
- (215) 766-0927
- Fax
- (215) 766-0927
- NPI assigned
- Dec 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT003131L | PA | Primary |
Addresses
Primary practice location
5732 Stump Rd
Pipersville, PA 18947-1004
Mailing address
5732 Stump Rd
Pipersville, PA 18947-1004
Phone (215) 766-0927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019326520003 | Other | PA | MEDICAL ASSISTANCE |
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 |
|---|---|---|---|
| PT003131L | PA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104982248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5732 STUMP RD",
"city": "PIPERSVILLE",
"state": "PA",
"postal_code": "189471004",
"telephone_number": "215-766-0927",
"fax_number": "215-766-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5732 STUMP RD",
"city": "PIPERSVILLE",
"state": "PA",
"postal_code": "189471004",
"telephone_number": "215-766-0927",
"fax_number": "215-766-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "DEBORAH",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "PA",
"license": "PT003131L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "0019326520003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pipersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.