Active NPI
Alma Chicote Vertudazo, OTR
- Specialist
- Kennett Square, PA
National Provider Identifier
1285902486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 05297
- Practice address
- 600 South Brood St.,
Genesis Rehab. Services
Kennett Square, PA 19348 - Phone
- (410) 641-9183
- NPI assigned
- Dec 2, 2011
- Last updated
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 05297 | MD | Primary |
Addresses
Primary practice location
600 South Brood St.,
Genesis Rehab. Services
Kennett Square, PA 19348
Mailing address
707 Ramsey CT
Apt. 203
Salisbury, MD 21804-2777
Phone (410) 603-9631
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05297 | MD | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1285902486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 RAMSEY CT",
"address_2": "APT. 203",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042777",
"telephone_number": "410-603-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SOUTH BROOD ST.,",
"address_2": "GENESIS REHAB. SERVICES",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "410-641-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTUDAZO",
"first_name": "ALMA",
"middle_name": "CHICOTE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "05297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.