Individual provider Active NPI

Arron Todd Ocheltree, PTA

  • Physical Therapy Assistant
  • Altamonte Springs, FL
National Provider Identifier
1376061622
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27698 Issued in FL
Practice address
498 Palm Springs Dr
Altamonte Springs, FL 32701-7829
Phone
(407) 494-0644
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA27698 FL Primary

Addresses

Primary practice location

498 Palm Springs Dr
Altamonte Springs, FL 32701-7829

Mailing address

2001 Glenridge Way Apt 17
Winter Park, FL 32792-5427
Phone (912) 977-4443

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA27698FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1376061622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 GLENRIDGE WAY APT 17",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925427",
            "telephone_number": "912-977-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 PALM SPRINGS DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017829",
            "telephone_number": "407-494-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHELTREE",
        "first_name": "ARRON",
        "middle_name": "TODD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.