Tyler Ottesen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013461-01 Issued in NY

Practice address

52 Route 17K Ste 203
Newburgh, NY 12550-3920

Phone

(845) 565-5410

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innate Chiropractic PCGroup PAC ID 6800089913, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innate Chiropractic PC

  • Chiropractor
  • Newburgh, NY
  • NPI 1366759797
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1295303436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ROUTE 17K STE 203",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ROUTE 17K STE 203",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503920",
            "telephone_number": "845-565-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTESEN",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013461-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Angel Ortiz II, R. PH.
• Michael Osorio, LMHC
• OT, PT, SLP and RN PLLC (Therapeutic Horizons)
• Richard Ansong Otchere, OTR/L
• Ruthy R Otero, RPH
• Sharman J Ottowitz, RN
• Olapeju Oyeyemi
• P&Z Transportation
• Theresa Marie Paddyfote, RN
• Paez Chiropractic, P.C.

• Chiropractor in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.