Individual provider Active NPI

Louis Edward Ottino, D.C.

  • Chiropractor
  • Mount Kisco, NY
National Provider Identifier
1184927915
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012200 Issued in NY
Practice address
120 Kisco Ave Ste L
Mount Kisco, NY 10549-1417
Phone
(914) 849-9972
Fax
(914) 358-1213
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10176 FL
Chiropractor 111N00000X X012200 NY Primary

Addresses

Primary practice location

120 Kisco Ave Ste L
Mount Kisco, NY 10549-1417

Mailing address

120 Kisco Ave Ste L
Mount Kisco, NY 10549-1417
Phone (914) 849-9972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102000948 NY Practitioner - Chiropractic 3375717853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Kisco Ave
Suite L
Mount Kisco, NY 10549-1417
Phone (914) 849-9972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10176FLMDChiropractor
X012200NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ottino Chiropractic, PLLC Chiropractor CurrentSince Sep 14, 2021 Accepting new patients
42ND Street Physical Medicine & Rehabilitaion,P.C. Past Accepting new patients

Locations

120 Kisco Ave
Ste L
Mount Kisco, NY 10549
Phone (914) 849-9972

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1184927915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KISCO AVE STE L",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491417",
            "telephone_number": "914-849-9972",
            "fax_number": "914-358-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KISCO AVE STE L",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491417",
            "telephone_number": "914-849-9972",
            "fax_number": "914-358-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTINO",
        "first_name": "LOUIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10176",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.