TEGAN OTTO PT, DPT
NPI 1740639889
Physical Therapist in Maple Grove, MN
About Tegan Otto Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEGAN OTTO PT, DPT (NPI 1740639889) is an individual physical therapist in Maple Grove, Minnesota, licensed in Minnesota (10264) and active in the NPI registry since June 2016.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tegan Otto Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tegan Otto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tegan Otto's NPI number?
The NPI number for Tegan Otto is 1740639889. It was assigned to this individual provider in the NPPES registry on June 9, 2016. The provider is also known as Tegan Oare.
Where is Tegan Otto located?
Tegan Otto practices at 15301 Grove Cir N, Maple Grove, MN 55369. The listed phone number is (952) 993-5900.
What is Tegan Otto's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tegan Otto enrolled in Medicare?
Yes. Tegan Otto is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tegan Otto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tegan Otto reassigns Medicare benefits to Park Nicollet Clinic (Brooklyn Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tegan Otto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tegan Otto was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.