Individual provider Active NPI

Robert W. Otto Jr., MPT

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1598729972
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017010 Issued in PA
Practice address
2010 West Chester Pike
Suite 450
Havertown, PA 19083
Phone
(610) 853-0508
Fax
(610) 853-3837
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017010 PA Primary

Addresses

Primary practice location

2010 West Chester Pike
Suite 450
Havertown, PA 19083

Mailing address

2010 West Chester Pike
Suite 450
Havertown, PA 19083
Phone (610) 853-0508

Other identifiers 3

IdentifierTypeStateIssuer
OT1633657OtherPABC/BS-MAJOR MEDICAL
4495223OtherPAAETNA PROVIDER #
2309058000OtherPAINDEPENDENCE BLUE CROSS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000173 PA Practitioner - Physical Therapist in Private Practice 4284600057 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians
Penn Therapy Associates IncGroup PAC ID 5698795565, 5 clinicians
Bucks Physical and Sports Rehabilitation LLCGroup PAC ID 0042101347, 29 clinicians

Practice addresses (Care Compare)

110 Ardmore Ave
Ardmore, PA 19003-1339
Phone (484) 498-8299

2010 W Chester Pike
Suite 450
Havertown, PA 19083-2741
Phone (610) 853-0508

2329 Bristol Rd
Bensalem, PA 19020-6000
Phone (215) 918-9601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017010PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Therapy Associates, Inc. Physical Therapist CurrentSince Sep 1, 2005 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince May 22, 2019 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Feb 16, 2026 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist PastSince Aug 15, 2025 Accepting new patients
Anthony Marziano Jr BSC MPT PC Physical Therapist PastSince Nov 1, 1998 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

120 E Lancaster Ave
Ste 205
Ardmore, PA 19003
Phone (484) 297-6491

2329 Bristol Rd
Bensalem, PA 19020
Phone (215) 918-9601

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

2010 W Chester Pike
Ste 450
Havertown, PA 19083
Phone (610) 853-0508

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598729972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "SUITE 450",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-853-0508",
            "fax_number": "610-853-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "SUITE 450",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-853-0508",
            "fax_number": "610-853-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-MAJOR MEDICAL",
            "identifier": "OT1633657",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4495223",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS #",
            "identifier": "2309058000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.