Active NPI
Jennifer Rose Otremba-Gorski, MPT
- Orthopedic Physical Therapist
- Columbia, MD
National Provider Identifier
1831205830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 19991
- Practice address
- 6300 Woodside CT
Suite E
Columbia, MD 21046-1098 - Phone
- (410) 312-9000
- Fax
- (410) 312-9001
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 19991 | MD | Primary |
Addresses
Primary practice location
6300 Woodside CT
Suite E
Columbia, MD 21046-1098
Mailing address
6606 Lochinvar Dr
Catonsville, MD 21228-3416
Phone (410) 747-7788
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 |
|---|---|---|---|
| 19991 | MD | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831205830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 LOCHINVAR DR",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283416",
"telephone_number": "410-747-7788",
"fax_number": "410-312-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 WOODSIDE CT",
"address_2": "SUITE E",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461098",
"telephone_number": "410-312-9000",
"fax_number": "410-312-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTREMBA-GORSKI",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "19991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.