Organization Active NPI

Ott Physical Therapy PLLC

  • Physical Therapist
  • Riverhead, NY
National Provider Identifier
1184433120
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OTT PHYSICAL THERAPY PLLC
Practice address
614 Pleasure Dr
Riverhead, NY 11901-4925
Phone
(631) 977-8830
NPI assigned
Jan 4, 2025
Last updated
Jan 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Authorized official

Name
Chris Ott, PT, DPT
Title
Managing Member
Phone
(631) 977-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

614 Pleasure Dr
Riverhead, NY 11901-4925

Mailing address

614 Pleasure Dr
Riverhead, NY 11901-4925
Phone (631) 977-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260406001904 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547735755 Receives reassigned benefits from 1 practitioner
Practice locations: East Hampton, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1184433120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 PLEASURE DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014925",
            "telephone_number": "631-977-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 PLEASURE DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014925",
            "telephone_number": "631-977-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-977-8830",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.