Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Otto, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1306915335

Dr. Nicole Otto, MD is a Sports Medicine (Family Medicine) Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3535 Market St Ste 100
Philadelphia, PA 19104-3309
Phone: (215) 746-3535
Fax: (215) 746-1032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence MD425787 (PA)

Record details

NPI number1306915335
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESSeptember 9, 2009

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