Active NPIIndividual provider

Rolly B Otero, PTA

Physical Therapy Assistant in Bronx, New York

NPI Number1316171093
Practice location
729 Pelham Pkwy N, Bronx, NY 10467-9506
Fax
—
Last updated
May 8, 2009

Rolly Betita Otero is a Physical Therapy Assistant based in Bronx, NY. Rolly Betita Otero practices in Bronx, NY and has the professional credentials of PTA. The NPI Number for Rolly Betita Otero is 1316171093 and holds a License No. P67888 (NY). The current practice location address for Rolly Betita Otero is 729 Pelham Pkwy N, Bronx, NY 10467-9506 and can be reached out via phone at 718-944-5050.

Provider Profile Details

NPI Number
1316171093
Provider Name
Rolly Betita Otero
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
729 Pelham Pkwy N, Bronx, NY 10467-9506
Phone Number
718-944-5050
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2009
Last Update Date
May 8, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
729 Pelham Pkwy N
Bronx, NY 10467-9506
City
Bronx
Zip
10467-9506
Phone Number
718-944-5050
Bronx, NY 10467Get directions →

Provider Business Mailing Address Details

Address
274 Ogden Ave
Bsmnt
Jersey City, NJ 07307-1209
City
Jersey City
State
NJ
Zip
07307-1209
Phone Number
201-658-1529

License Information

License Number
P67888
License State
NY
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rolly B Otero, PTA?

The NPI number of Rolly B Otero, PTA is 1316171093. It was assigned on May 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Rolly B Otero, PTA?

Rolly B Otero, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number P67888.

Where does Rolly B Otero, PTA practice?

The practice location is 729 Pelham Pkwy N, Bronx, NY 10467-9506. The office can be reached at 718-944-5050 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316171093 directly on the NPPES registry website.

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