Alec Mateo Otero, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008435 Issued in KY

Practice address

5796 Nashville Rd
Bowling Green, KY 42101-7546

Phone

(270) 745-0987

Fax

(270) 745-0986

NPI assigned

Nov 15, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Commonwealth Health Corporation

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1508899089
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1548926595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W CHERRY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411505",
            "telephone_number": "270-404-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 NASHVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017546",
            "telephone_number": "270-745-0987",
            "fax_number": "270-745-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "ALEC",
        "middle_name": "MATEO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037133761",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Jose Orozco, MD
• Ortho Sport & Spine Bowling Green
• Orthobgllc
• Constance Osborne, CASE MANAGER
• Destiny Osborne
• Alexandra Oulay, PHARMD
• Bernice Ouzmine, BHS
• Karol Owen, LPCC
• Melissa Owens, ARNP
• Owsley Family Chiropractic of Bowling Green, PLLC

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.