Otvest, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

OTVEST, LLC

Practice address

4646 Wishing Well CT
Portage, MI 49024-4607

Phone

(269) 329-3287

Fax

(269) 324-2012

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Lynn Vandenberg, OTR

Title

Sole Owner

Phone

(269) 329-3287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1659740058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 WISHING WELL CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244607",
            "telephone_number": "269-329-3287",
            "fax_number": "269-324-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 WISHING WELL CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244607",
            "telephone_number": "269-329-3287",
            "fax_number": "269-324-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTVEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "VANDENBERG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "269-329-3287",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orbit Marketing (Option 1 Genetics)
• Nichole L Osgood
• Steven Todd Osterhout, D.C.,CCN
• Amber Ostlund
• Hailey Ostrolencki
• Cassidy Oudekerk
• Chelsea Kristine Owens, LCSW
• Loren Jane Owens, LMSW
• Maureen Owens, PA-C
• Kayla Elizabeth Owsley

• Customized Equipment (DME) in Portage, MI
• Providers in Portage, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.