David B Rotter, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

211000159 Issued in IL

Practice address

121 Springfield Ave Ste 4
Joliet, IL 60435-6545

Phone

(815) 255-3220

Fax

(630) 424-0467

NPI assigned

Feb 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• David Rotter Prosthetics, LTD

  • Durable Medical Equipment & Medical Supplies
  • Joliet, IL
  • NPI 1376006734

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1194225227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SPRINGFIELD AVE STE 4",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356545",
            "telephone_number": "815-582-4482",
            "fax_number": "630-424-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SPRINGFIELD AVE STE 4",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356545",
            "telephone_number": "815-255-3220",
            "fax_number": "630-424-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTER",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213000185",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211000159",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "IL",
            "license": "212000113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosewood Care Center, Inc of Joliet
• Rosin Optical Co., Inc.
• Anais Rosin, BCBA
• Ed Allen Roska, CRNA
• Rebecca K Ross, D.C.
• Patty Roumeliotis, RN, IBCLC
• Melissa Martha Rousek, LPMT, MT-BC
• Melissa S Rowland, PSYD
• Mark Allen Roy, LCSW
• Royal Dental

• Prosthetist in Joliet, IL
• Providers in Joliet, IL by specialty
• Prosthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.