Organization Active NPI

OT Etc, Inc

  • Specialist
  • San Diego, CA
National Provider Identifier
1487671210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT 5207 Issued in CA
Legal business name
OT ETC, INC
Practice address
7927 Ostrow St Ste B
San Diego, CA 92111-3604
Phone
(858) 565-6910
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Valerie E Plummer, OTRNPI 1053338616
Title
Owner
Phone
(858) 565-6910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT 5207 CA Primary

Addresses

Primary practice location

7927 Ostrow St Ste B
San Diego, CA 92111-3604

Mailing address

7927 Ostrow St Ste B
San Diego, CA 92111-3604
Phone (858) 565-6910

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ09152ZOtherCABLUE SHIELD PIN

National Provider Directory

National Provider Directory

Locations

7927 Ostrow St
Ste B
San Diego, CA 92111
Phone (619) 475-6910

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487671210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 OSTROW ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113604",
            "telephone_number": "858-565-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 OSTROW ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113604",
            "telephone_number": "858-565-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT ETC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-565-6910",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT 5207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ09152Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.