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

Glenn Dittmar, OTR/L

Individual provider Occupational Therapist · NPI 1568171239

Glenn Dittmar, OTR/L is an Occupational Therapist in Private Practice in Vestal, New York. Qualified in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone: (607) 762-2176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 027376 (NY)

Record details

NPI number1568171239
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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