Active NPI
Kurt Francis Otten, PT
- Physical Therapist
- Lighthouse Point, FL
National Provider Identifier
1770627879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12985
- Practice address
- 5026 B North Federal Highway
Lighthouse Point, FL 33064 - Phone
- (954) 426-8884
- Fax
- (954) 426-8885
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PT12985 | FL | Primary |
Addresses
Primary practice location
5026 B North Federal Highway
Lighthouse Point, FL 33064
Mailing address
5026B N Federal Hwy
Lighthouse Point, FL 33064-7057
Phone (954) 725-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y5381Z | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5026B N Federal Hwy
Lighthouse PT, FL 33064-7057
Phone (954) 426-8884
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 66.67
- Improvement activities
- 40
- Cost
- 78.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
Locations
5026 N Federal Hwy
#B
Lighthouse Point, FL 33064
5026B N Federal Hwy
Lighthouse Point, FL 33064
Phone (954) 426-8884
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lighthouse Point, FL
- NPI 1982828695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1770627879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5026B N FEDERAL HWY",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647057",
"telephone_number": "954-725-0055",
"fax_number": "954-426-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 B NORTH FEDERAL HIGHWAY",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "33064",
"telephone_number": "954-426-8884",
"fax_number": "954-426-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTEN",
"first_name": "KURT",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT12985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Y5381Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.