Ott Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3063 Issued in WI

Legal business name

OTT CHIROPRACTIC, INC.

Practice address

601 Ryan St
Pewaukee, WI 53072-1844

Phone

(262) 695-9698

Fax

(262) 695-0144

NPI assigned

Oct 14, 2008

Last updated

Nov 26, 2008By 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

Dr. Gregory D. Ott, D.O.

Title

President

Phone

(262) 695-9698

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1679725386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RYAN ST",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721844",
            "telephone_number": "262-695-9698",
            "fax_number": "262-695-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RYAN ST",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721844",
            "telephone_number": "262-695-9698",
            "fax_number": "262-695-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-695-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38881500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0000070728",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ommani, SC (The Ommani Center for Integrative Medicine)
• Optical Consultants, Inc
• Joshua D Orne, APNP
• Orthopaedic Associates of Wisconsin, SC
• Gina Foti Ostrand, DDS
• Suzan Otto, RPH
• Jamie-Lyn Marie Palama, M.S., LPC, CSAC, NBC
• Marie Palmer, LPC-IT
• Rick Frank Papandrea, M.D.
• Amanda Passint

• Chiropractor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.