Active NPI
Otol Inc
- Rehabilitation Clinic/Center
- Sherman Oaks, CA
National Provider Identifier
1801007091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- OTOL INC
- Doing business as
- OTOL Rx Cognitive Rehabilitation Specialists
- Practice address
- 13636 Ventura Blvd
420
Sherman Oaks, CA 91423-3700 - Phone
- (818) 763-9997
- Fax
- (818) 763-9979
- NPI assigned
- May 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Beth Milton, MA, CCC-SLP,CCM
- Title
- Owner
- Phone
- (818) 763-9997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
13636 Ventura Blvd
420
Sherman Oaks, CA 91423-3700
Mailing address
13636 Ventura Blvd
420
Sherman Oaks, CA 91423-3700
Phone (818) 763-9997
Other names 1
- OTOL Rx Cognitive Rehabilitation Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192320000000",
"number": "1801007091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13636 VENTURA BLVD",
"address_2": "420",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233700",
"telephone_number": "818-763-9997",
"fax_number": "818-763-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13636 VENTURA BLVD",
"address_2": "420",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233700",
"telephone_number": "818-763-9997",
"fax_number": "818-763-9979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTOL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-27",
"last_updated": "2007-10-14",
"status": "A",
"authorized_official_last_name": "MILTON",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-763-9997",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, CCC-SLP,CCM"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OTOL Rx Cognitive Rehabilitation Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.