Olivia Rae Otter, DPT, PT in Mystic, CT - Medicare Physical Therapist Provider

Olivia Rae Otter, DPT, PT is a medicare enrolled "Physical Therapist" provider in Mystic, Connecticut. Her current practice location is 100 Perkins Farm Dr Ste 202, Mystic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 572-5455.

Olivia Rae Otter is licensed to practice in Connecticut (license number 013202) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700584653.

Contact Information

	Olivia Rae Otter, DPT, PT
	100 Perkins Farm Dr Ste 202, Mystic, CT 06355-4041
	(860) 572-5455
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Olivia Rae Otter
Gender	Female
Speciality	Physical Therapist
Location	100 Perkins Farm Dr Ste 202, Mystic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700584653
Provider Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7911370648
Enrollment ID: I20230228002765

Medical Identifiers

Medical identifiers for Olivia Rae Otter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700584653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	013202 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olivia Rae Otter allows following entities to bill medicare on her behalf.

Provider Name	Inspire Physical Therapy And Wellness, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548847221 PECOS PAC ID: 4688073448 Enrollment ID: O20220511000121

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. Olivia Rae Otter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Olivia Rae Otter, DPT, PT 84 Corey Ln, Niantic, CT 06357-1335 Ph: (860) 694-9834	Olivia Rae Otter, DPT, PT 100 Perkins Farm Dr Ste 202, Mystic, CT 06355-4041 Ph: (860) 572-5455

Reviews and Comments

Physical Therapist in Mystic, CT

Mr. Edmond Francis Cardinal Jr., MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Main St, Mystic, CT 06355 Phone: 860-334-4229
Jenalyn D Vergara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Jerry Browne Rd, Mystic, CT 06355 Phone: 860-572-5675
Spectrum Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Stonington Rd, Suite A-3, Mystic, CT 06355 Phone: 860-536-1699 Fax: 860-536-1686
Ann Marie Kupis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1527
Grace La Porte, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2440 Gold Star Hwy Unit 201, Mystic, CT 06355 Phone: 860-536-1001
Katieanne P Christian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1005
Kevin P Raksnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1005

Olivia Rae Otter, DPT, PT - Medicare Physical Therapist in Mystic, CT