Tina Otter, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1148649 Issued in TX

Practice address

2956 I-45 North
Suite 500
Conroe, TX 77303

Phone

(936) 441-4422

Fax

(936) 441-4427

NPI assigned

Aug 7, 2006

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apt Enterprises, LLC

  dba Access Rehab Clinics

  • Physical Therapist
  • Conroe, TX
  • NPI 1003800582
  NPD (past)
• Memorial Hermann Health System

  dba Memorial Hermann Pharmacy-TMC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1144239070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 I-45 NORTH",
            "address_2": "SUITE 500",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77303",
            "telephone_number": "936-441-4422",
            "fax_number": "936-441-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 I-45 NORTH",
            "address_2": "SUITE 500",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77303",
            "telephone_number": "936-441-4422",
            "fax_number": "936-441-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 River Pointe Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042656",
            "country_code": "US",
            "telephone_number": "936-756-0086",
            "fax_number": "936-756-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTER",
        "first_name": "TINA",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1148649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T0852",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GROUP N",
            "identifier": "00164S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthospine MD PLLC
• Jorge Eduardo Ortiz, P.T.
• Jesus Andres Osornio
• Mary Ostrowski, M.D.
• Mary Ellen Ostrowski, N.P.
• Linda Otto, RN
• Fatima Ouhane
• Our Hands & Yours
• Our Hands and Yours
• Our Perfect Hands (Our Perfect Hands Home Care)

• Physical Therapist in Conroe, TX
• Providers in Conroe, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.