Individual provider Active NPI

James Gilbert Oetter, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1275530818
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3526 Issued in AZ
Practice address
6970 N Oracle Rd Ste 130
Tucson, AZ 85704-4237
Phone
(520) 219-5825
Fax
(520) 219-5827
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3526 AZ Primary

Addresses

Primary practice location

6970 N Oracle Rd Ste 130
Tucson, AZ 85704-4237

Mailing address

6970 N Oracle Rd Ste 130
Tucson, AZ 85704-4237
Phone (520) 219-5825

Other identifiers 1

IdentifierTypeStateIssuer
86059251885704C013OtherAZTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3526AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physical Therapy, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.oetter.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1275530818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 N ORACLE RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044237",
            "telephone_number": "520-219-5825",
            "fax_number": "520-219-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 N ORACLE RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044237",
            "telephone_number": "520-219-5825",
            "fax_number": "520-219-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTER",
        "first_name": "JAMES",
        "middle_name": "GILBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "86059251885704C013",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.