MRS. STEPHANIE G OTA (MSPT) – Physical Medicine & Rehabilitation Physician, NPI 1104965508

MRS. STEPHANIE G OTA (MSPT) is a healthcare provider. based in Spokane, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. 8396 (WA). The NPI Number for MRS. STEPHANIE G OTA (MSPT) is 1104965508

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE G OTA (MSPT)
NPI
1104965508
Phone
(509) 456-6917
Address
2507 E 27TH AVE
Enumeration Date
5 February 2007
Last Update Date
25 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094566917
Graduation Year
2000 (26 years ago)
PAC ID
0840485694
Group Practice PAC ID
7810885662
Professional Enrollment ID
I20101106000062
Address ID
WA992234908SP2507XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MRS. STEPHANIE G OTA (MSPT)

  • 2507, East 27th Avenue, Lincoln Heights, Spokane, Spokane County, Washington, 99223, United States

    SPOKANE, WA 992234908

    Phone: (509) 456-6917

    Fax: (509) 456-5902

    Type: Location

  • 3020, South Grand Boulevard, Comstock, Spokane, Spokane County, Washington, 99203, United States

    SPOKANE, WA 99203

    Phone: (509) 456-6917

    Fax: (509) 456-5902

    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: 2010-11-06

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
I20101106000062IPhysical Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes88357$0
97530Therapy procedure using functional activities70263$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50066$0
97140Therapy procedure using manual technique, each 15 minutes16424$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12824$0
View full utilization report →

Insurance plans in this area (ZIP 99223)

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Provider's Procedures

MRS. STEPHANIE G OTA (MSPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes143586

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: 7810885662View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What is MRS. STEPHANIE G OTA (MSPT)'s NPI number?
MRS. STEPHANIE G OTA (MSPT)'s NPI is 1104965508 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. STEPHANIE G OTA (MSPT)?
You should see MRS. STEPHANIE G OTA (MSPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. STEPHANIE G OTA (MSPT)?
At a glance, MRS. STEPHANIE G OTA (MSPT) is tied to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is MRS. STEPHANIE G OTA (MSPT) associated with Spokane?
Public fields place MRS. STEPHANIE G OTA (MSPT) around Spokane, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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