Robert Alsterberg, COTA/L
Individual provider Active NPI Contractor · Ashland City, TN
NPI 1912378621 · NPPES record last updated Oct 8, 2015
Key facts
- NPI
- 1912378621
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- OTA0000001220 (TN)
- Practice address
- 102 Nimitz Cir
Ashland City, TN 37015-3957 - Phone
- (615) 792-7006
- Fax
- (615) 792-7006
- NPI assigned
- Oct 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA0000001220 | TN | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OTA0000001220 | TN | Yes |
Addresses
Primary practice location
102 Nimitz Cir
Ashland City, TN 37015-3957
Mailing address
102 Nimitz Cir
Ashland City, TN 37015-3957
Phone (615) 792-7006
Other providers in Ashland City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.