Organization Active NPI

Otb Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1124735600
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OTB MEDICAL SUPPLIES LLC
Practice address
2005 W Cypress Creek Rd Ste 104a
Fort Lauderdale, FL 33309-1835
Phone
(954) 529-5891
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
David Montoya
Title
Owner
Phone
(954) 529-5891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2005 W Cypress Creek Rd Ste 104a
Fort Lauderdale, FL 33309-1835

Mailing address

2005 W Cypress Creek Rd Ste 104a
Fort Lauderdale, FL 33309-1835
Phone (954) 529-5891

National Provider Directory

National Provider Directory

Locations

2005 W Cypress Creek Rd
Ste 104A
Fort Lauderdale, FL 33309
Phone (954) 529-5891

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1124735600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W CYPRESS CREEK RD STE 104A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091835",
            "telephone_number": "954-529-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W CYPRESS CREEK RD STE 104A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091835",
            "telephone_number": "954-529-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTB MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-529-5891"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.