Jennifer Lin Otanicar, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011042 Issued in OH

Practice address

4820 Lincoln Blvd
Marina del Rey, CA 90292-6917

Phone

(310) 822-0041

Fax

(310) 822-0049

NPI assigned

Nov 16, 2005

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

State licenses

Practice roles

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.

• Blake Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1750350476
  NPD (past)
• Carefree Physical Therapy, PC

  • Specialist
  • Carefree, AZ
  • NPI 1154363638
  NPD (past)
• Orthopaedic Consultants of Cincinnati, Inc.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1396792529
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1215919253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 W 86TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453709",
            "telephone_number": "513-293-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926917",
            "telephone_number": "310-822-0041",
            "fax_number": "310-822-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTANICAR",
        "first_name": "JENNIFER",
        "middle_name": "LIN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas David Onorato, PH.D.
• Open Grounds Inc.
• Katrina Portugal Ordonez, PHARMD
• Ivan Ortega
• Orthopaedic Qualified Medical Evaluators
• Amy Otero
• Valerie Ezinwa Otti, MD
• Pacific Hearing & Balance, Inc.
• Pacific Hearing, Inc.
• Karina Padilla

• Physical Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.