Active NPI
Otis Edward Joslyn III, M.S.P.T.
- Physical Therapist
- Savannah, GA
National Provider Identifier
1780683474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007636
- Practice address
- 1326 Eisenhower Dr
Savannah, GA 31406-3928 - Phone
- (912) 691-4250
- Fax
- (912) 691-4254
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- 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 | PT007636 | GA | Primary |
Addresses
Primary practice location
1326 Eisenhower Dr
Savannah, GA 31406-3928
Mailing address
1326 Eisenhower Dr
Savannah, GA 31406-3928
Phone (912) 691-4250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416014 | Other | GA | BCBS |
| P00226785 | Other | GA | RR MEDICARE |
| TH1550 | Medicaid | SC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191801600000",
"number": "1780683474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4250",
"fax_number": "912-691-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4250",
"fax_number": "912-691-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSLYN",
"first_name": "OTIS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2007-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "416014",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00226785",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1550",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.