Meredith Ottman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5596-26 Issued in WI

Practice address

2105 Carlton Rd
Oshkosh, WI 54904-9335

Phone

(920) 203-5177

NPI assigned

Jan 26, 2015

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1902296114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CARLTON RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049335",
            "telephone_number": "920-203-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CARLTON RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049335",
            "telephone_number": "920-203-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTMAN",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5596-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oshkosh Spine Wellness Center LLC
• Oshkosh Transit LLC
• Ahmed U Otokiti, MD
• Jacqueline Ann Ots, PENDING
• Rebecca Lynn Ott, APNP
• Stacey Otto
• Emma Anne Owens, PTA
• Erin R Oxley, PA-C
• Isaac Kallies Pabst
• Rachael Mae Pagel, MS/CCC-SLP

• Occupational Therapist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.