Jodi Otis is a Orthopedic in Saint Louis, Missouri. Jodi Otis practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jodi Otis is 1700811130. The last update date is 2007-07-08.
Jodi Otis's current location address is 777 S New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149853002 and fax number 3149853012. The mailing address for Jodi Otis is 777 S New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Otis |
|---|---|
| Address | 777 S New Ballas Rd, Saint Louis, Missouri |
| Phone Number | 3149853002 |
| Fax Number | 3149853012 |
| Sole Proprietor | N |
| Credentials | MPT, ATC |
NPI Number Detail
| NPI Number | 1700811130 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 777 S New Ballas Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418705 |
| Phone Number | 3149853002 |
| Fax Number | 3149853012 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 118132 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Post Comment/ Review Below
What is the unique identification code assigned to Jodi Otis by the Centers for Medicare & Medicaid Services?
The Jodi Otis has been issued the NPI (National Provider Identifier) 1700811130. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jodi Otis is physically located?
The Jodi Otis is situated at the following address: 777 S New Ballas Rd, Saint Louis, MO 631418705.
What is Jodi Otis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jodi Otis is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
On what date did the Jodi Otis receive the assignment of its 1700811130 from the Centers for Medicare & Medicaid Services?
The Jodi Otis was issued its 1700811130 by the Centers for Medicare & Medicaid Services on 2006-07-12.
As of what date was the information regarding Jodi Otis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jodi Otis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.