Britta Tidemand Ottoboni, ATC, L-MT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4525 Prospect St
West Bloomfield, MI 48324-1275

Phone

(248) 681-3522

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1710035894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 PROSPECT ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241275",
            "telephone_number": "248-613-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 PROSPECT ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241275",
            "telephone_number": "248-681-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTOBONI",
        "first_name": "BRITTA",
        "middle_name": "TIDEMAND",
        "name_prefix": "Mrs.",
        "credential": "ATC, L-MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucinda Orwoll
• Madison Osentoski, PA-C
• Osr Solutions, LLC
• Yuliya Ostapenko, NP
• Crystal Ann Osunde, PHARMD
• Tonia Renia Owens, NURSE
• Lama Ozeir
• Hugh P Pabarue Jr., M.D.
• Rachel Pad, PHD
• Darcy Paisley, FNP

• Athletic Trainer in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.