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

Tyler Ottesen, DC

Individual provider Chiropractor · NPI 1295303436

Tyler Ottesen, DC is a Chiropractic in Newburgh, New York. Qualified in 2020, 6 years ago. Practices with Innate Chiropractic PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

52 Route 17K Ste 203
Newburgh, NY 12550-3920
Phone: (845) 565-5410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X013461-01 (NY)

Record details

NPI number1295303436
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address52 Route 17k Ste 203, Newburgh, NY 12550-3920

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Innate Chiropractic Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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