Tiela Lynn Otto, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1191 Issued in NH

Practice address

175 Blueberry LN
Laconia, NH 03246-2918

Phone

(603) 524-3340

NPI assigned

Jun 5, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1164951018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BLUEBERRY LN",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462918",
            "telephone_number": "603-524-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "TIELA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen M Oliver, ARNP
• Phebe Olorunfemi
• Dwayne Oothoudt
• Open View Therapy, LLC
• Oriana Filiault PLLC
• Mary-Claire Sampas Paicopolis, M.D.
• Allita Paine, OT
• Nicole Xaviera Pak, M.A.
• Cynthia Elaine Palage, CRNA
• Michele Dee Paramore, BS

• Physical Therapy Assistant in Laconia, NH
• Providers in Laconia, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.