Active NPI
Sara J Otten, PT
- Physical Therapist
- Clarence, IA
National Provider Identifier
1699019844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03549
- Practice address
- 402 2ND Ave
Clarence, IA 52216-9754 - Phone
- (563) 452-3262
- NPI assigned
- Nov 11, 2012
- Last updated
- Nov 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03549 | IA | Primary |
Addresses
Primary practice location
402 2ND Ave
Clarence, IA 52216-9754
Mailing address
1357 Logan CT
North Liberty, IA 52317-9115
Phone (775) 450-5834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03549 | Other | IA | PHYSICAL THERAPY LISENCE |
Other names 1
- Sara James
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03549 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352592000000",
"number": "1699019844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 LOGAN CT",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179115",
"telephone_number": "775-450-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 2ND AVE",
"city": "CLARENCE",
"state": "IA",
"postal_code": "522169754",
"telephone_number": "563-452-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTEN",
"first_name": "SARA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-11",
"last_updated": "2012-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LISENCE",
"identifier": "03549",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "JAMES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clarence, IA
- Clarence Nursing Home Inc (Clarence Nursing Home)
- Clarence Nursing Home, Inc
- Frederick Russell Drexler, DDS
- Heal With Cat
- Iowa Physicians Clinic Medical Foundation (Clarence Family Medicine)
- Anna C. Pruess, A.R.N.P.
- Heather Lynn Schott, ARNP
- Cat St Clair
- St Luke's Jones Regional Medical Center (Unitypoint Health-Family Medicine Clinic-Clarence)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.