Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ryan Otto
Physician Assistant in Kenosha, WI · enumerated 2022.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1457004517
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Ryan Otto
Sex Male
Practice address 1400 43rd St, Kenosha, WI, 53140
Phone (414) 651-2814
Enumeration date Jan 30, 2022
Last updated in NPPES Mar 16, 2026
Taxonomy & licenses
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License IL (IL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 8206 (WI) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1457004517 active?
Yes, as of the latest NPPES snapshot, NPI 1457004517 is active (record last updated 2026-03-16).
How do I verify Ryan Otto's NPI record?
Cross-check NPI 1457004517 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-16.