ERIC OTERO (PT, DPT, OCS, ATC) – Physical Therapist, NPI 1609173053

ERIC OTERO (PT, DPT, OCS, ATC) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, OCS, ATC. They hold a License No. PT31829 (FL). The NPI Number for ERIC OTERO (PT, DPT, OCS, ATC) is 1609173053

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ERIC OTERO (PT, DPT, OCS, ATC)
NPI
1609173053
Phone
(407) 922-7622
Address
4000 CENTRAL FLORIDA BLVD
Enumeration Date
22 February 2011
Last Update Date
2 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613258278
Graduation Year
2011 (15 years ago)
PAC ID
9133400906
Group Practice PAC ID
0547698656
Professional Enrollment ID
I20170110002024
Address ID
FL334457312DE2855XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ERIC OTERO (PT, DPT, OCS, ATC)

  • 4000 CENTRAL FLORIDA BLVD

    ORLANDO, FL 328168005

    Phone: (407) 922-7622

    Type: Location

  • 2879 SHADOW WOOD CT

    KISSIMMEE, FL 347463033

    Phone: (407) 932-3256

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170110002024IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547698656View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the registry number for ERIC OTERO (PT, DPT, OCS, ATC)?
The registry entry for ERIC OTERO (PT, DPT, OCS, ATC) shows NPI 1609173053.
Is ERIC OTERO (PT, DPT, OCS, ATC)'s NPI status active today?
Active status means ERIC OTERO (PT, DPT, OCS, ATC)'s NPI record is not deactivated in the public file.
What services align with ERIC OTERO (PT, DPT, OCS, ATC)'s listing?
ERIC OTERO (PT, DPT, OCS, ATC)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ERIC OTERO (PT, DPT, OCS, ATC)?
ERIC OTERO (PT, DPT, OCS, ATC) is associated with Orlando, Florida in the same public data insurers reference.
Why is information missing for ERIC OTERO (PT, DPT, OCS, ATC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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