OTSEGO PHYSICAL MEDICINE
NPI 1164688263
Orthopaedic Surgery in Oneonta, NY

Active since July 29, 2008
41-45 DIETZ ST, ONEONTA, NY 13820(607) 431-9191 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Orthopaedic Surgery

About OTSEGO PHYSICAL MEDICINE

This page provides the complete NPI Profile along with additional information for Otsego Physical Medicine, a provider established in Oneonta, New York operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1164688263 assigned on July 2008. The practitioner's primary taxonomy code is 207X00000X with license number 136114-1 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. Otsego Physical Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sarah Etzl (Office Manager)

NPI
1164688263 Verify this NPI
Provider Name
OTSEGO PHYSICAL MEDICINE
Entity Type
Organization
Location Address
41-45 DIETZ ST ONEONTA, NY 13820
Location Phone
(607) 431-9191
Mailing Address
41-45 DIETZ ST ONEONTA, NY 13820
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2008
Last Update Date
07-29-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
136114-1
License State
NY
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111N00000XChiropractic Providers

Chiropractor

X010988 (NY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARAH ETZL

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(607) 431-9191

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Otolaryngology
41-45 DIETZ ST
ONEONTA, NY 13820
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
41-45 DIETZ ST
ONEONTA, NY 13820
Neuromusculoskeletal Medicine & OMM
41-45 DIETZ ST
ONEONTA, NY 13820
Chiropractor
41-45 DIETZ ST
ONEONTA, NY 13820
Chiropractor
41-45 DIETZ ST
ONEONTA, NY 13820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164688263, enumerated as an "organization" on July 29, 2008.

The provider is located at 41-45 DIETZ ST ONEONTA, NY 13820 and the phone number is (607) 431-9191.

Orthopaedic Surgery with taxonomy code 207X00000X.