Kelly Otis, RPT is a
Physical Medicine & Rehabilitation physician based in Scotts Valley, California. Kelly Otis is licensed to practice in California (license number PT1778) and her current practice location is 108 Whispering Pines Dr Ste 120, Scotts Valley, California. She can be reached at her office (for appointments etc.) via phone at
(831) 440-8304.
NPI number for Kelly Otis is 1407327968 and her current mailing address is 108 Whispering Pines Dr Ste 120, Scotts Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407327968.
Physician's Profile
| Full Name | Kelly Otis |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 108 Whispering Pines Dr Ste 120, Scotts Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407327968
- Provider Enumeration Date: 12/10/2018
- Last Update Date: 12/10/2018
Medical Identifiers
Medical identifiers for Kelly Otis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407327968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT1778 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Otis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Otis, RPT
108 Whispering Pines Dr Ste 120,
Scotts Valley, CA 95066-4792
Ph: (831) 440-8304 | Kelly Otis, RPT
108 Whispering Pines Dr Ste 120,
Scotts Valley, CA 95066-4792
Ph: (831) 440-8304 |
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