Active NPI
Josef Samuel Otto, OTR
- Hand Occupational Therapist
- Wright Patterson Afb, OH
National Provider Identifier
1942268859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT6670
- Practice address
- 488 Sugarmaple Rd
88MDG/SGHJ
Wright Patterson Afb, OH 45433 - Phone
- (937) 427-0771
- NPI assigned
- May 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT6670 | OH | Primary |
Addresses
Primary practice location
488 Sugarmaple Rd
88MDG/SGHJ
Wright Patterson Afb, OH 45433
Mailing address
3205 Winterset Dr
Dayton, OH 45440-3629
Phone (937) 212-5604
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT6670 | OH | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942268859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 WINTERSET DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403629",
"telephone_number": "937-212-5604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 SUGARMAPLE RD",
"address_2": "88MDG/SGHJ",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-427-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "JOSEF",
"middle_name": "SAMUEL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OH",
"license": "OT6670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wright Patterson Afb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.