Organization Active NPI

Otr, Inc.

  • Contractor
  • Plymouth Meeting, PA
National Provider Identifier
1437468485
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
OTR, INC.
Practice address
920 Germantown Pike, Ste 20
Plymouth Greene Office Campus, Ste 20
Plymouth Meeting, PA 19462
Phone
(610) 270-9650
Fax
(610) 270-9685
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Mrs. Tina Marie Sullivan
Title
Administrative Director
Phone
(610) 270-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

920 Germantown Pike, Ste 20
Plymouth Greene Office Campus, Ste 20
Plymouth Meeting, PA 19462

Mailing address

920 Germantown Pike, Ste 20
Plymouth Greene Office Campus, Ste 20
Plymouth Meeting, PA 19462
Phone (610) 270-9650

National Provider Directory

National Provider Directory

Locations

920 Germantown Pike
Ste 20
Plymouth Meeting, PA 19462
Phone (610) 270-9650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1437468485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 GERMANTOWN PIKE, STE 20",
            "address_2": "PLYMOUTH GREENE OFFICE CAMPUS, STE 20",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "610-270-9650",
            "fax_number": "610-270-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 GERMANTOWN PIKE, STE 20",
            "address_2": "PLYMOUTH GREENE OFFICE CAMPUS, STE 20",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "610-270-9650",
            "fax_number": "610-270-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "610-270-9650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.