Active NPI
Lisa Lynn Otto, PTA
- Physical Therapy Assistant
- Abilene, TX
National Provider Identifier
1831465970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2052373
- Practice address
- 842 N Mockingbird Lane
Kinder Hearts Home Health
Abilene, TX 79603-3820 - Phone
- (325) 428-9115
- NPI assigned
- Mar 22, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2052373 | TX | Primary |
Addresses
Primary practice location
842 N Mockingbird Lane
Kinder Hearts Home Health
Abilene, TX 79603-3820
Mailing address
1317 Washington Blvd
PO Box 7041
Abilene, TX 79601-3820
Phone (325) 428-9115
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 |
|---|---|---|---|
| 2052373 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1831465970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 WASHINGTON BLVD",
"address_2": "PO BOX 7041",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013820",
"telephone_number": "325-428-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 N MOCKINGBIRD LANE",
"address_2": "KINDER HEARTS HOME HEALTH",
"city": "ABILENE",
"state": "TX",
"postal_code": "796033820",
"telephone_number": "325-428-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "LISA",
"middle_name": "LYNN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2052373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
- Peggy Marie Ortiz, CRNA
- Jessica Ann Ortolano, M.D.
- Stephen Mark Osborn, PH D
- Judy Ann Osborne, LBSW
- Terry Osborne, LCSW
- Alain Oulai, RPH
- Outreach Health Community Care Services LP (Outreach Home Care)
- Outreach Health Community Care Services LP (Outreach Health)
- Outreach Health Community Care Services, L.P. (Outreach Health Services)
- Outreach Health Community Care Services, L.P. (Outreach Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.