Martine Susko Ott, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP012228 Issued in PA

Practice address

1288 Valley Forge Road
Unit 54
Phoenixville, PA 19460

Phone

(267) 563-8180

Fax

(484) 848-5195

NPI assigned

Aug 6, 2012

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Inspire Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenixville, PA
  • NPI 1235605171
  NPD Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1205183589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "215-257-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE ROAD",
            "address_2": "UNIT 54",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "19460",
            "telephone_number": "267-563-8180",
            "fax_number": "484-848-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Montgomery Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Boyertown",
            "state": "PA",
            "postal_code": "195121300",
            "country_code": "US",
            "telephone_number": "267-563-8180",
            "fax_number": "484-848-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "MARTINE",
        "middle_name": "SUSKO",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP012228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Arms HHC
• Rachel Hannah Oresky-Portner, MA, ATR-BC, LPC
• Orthopedic and Sports Physical Therapy Services Inc.
• Dalia Othman, MD
• Peter Patrick Otieno, NURSE
• PA Men'S Healthcare, PLLC
• Pace Foot and Ankle Centers PLLC
• Rita Hiten Padhiar, M.P.T
• Pain and Palliative Care Associates
• Pain and Palliative Care Associates of the Main Line, LLC

• Psychiatric/Mental Health Nurse Practitioner in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.