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

Tara Otterbein

Individual provider Physical Therapist · NPI 1174916597

Tara Otterbein is a Physical Therapist in Private Practice in Paramus, New Jersey. Qualified in 2015, 11 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2015
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Practice location Address checks out

776 N Rte 17
Paramus, NJ 07652-3108
Phone: (201) 225-9222
Fax: (201) 225-9223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01599300 (NJ)

Record details

NPI number1174916597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2015
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing address333 Earle Ovington Blvd, Suite, Uniondale, NY 11553-3610

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Paramus