Jonathan Carl Otto, DPT | |
306 Stoner Loop, Suite 3, Lakeside, MT 59922-8600 | |
(406) 844-0744 | |
(406) 844-0759 |
Full Name | Jonathan Carl Otto |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 306 Stoner Loop, Lakeside, Montana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366805467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11007 (Montana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
William H And Carrie Gottsche Foundation | 5092606293 | 37 |
Provider Name | William H And Carrie Gottsche Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558319392 PECOS PAC ID: 5092606293 Enrollment ID: O20040324001113 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Carl Otto, DPT 148 E Arapahoe St, Thermopolis, WY 82443-2402 Ph: (307) 864-2146 | Jonathan Carl Otto, DPT 306 Stoner Loop, Suite 3, Lakeside, MT 59922-8600 Ph: (406) 844-0744 |
Michael P Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Stoner Loop Ste 3, Lakeside, MT 59922 Phone: 406-844-0744 Fax: 406-844-0759 | |
Jolyna Wilson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 366 Lakeshore Dr, Lakeside, MT 59922 Phone: 303-475-2504 | |
Professional Therapy Associates Physical Therapist Medicare: Medicare Enrolled Practice Location: 306 Stoner Loop Ste 3, Lakeside, MT 59922 Phone: 406-844-0744 Fax: 406-844-0759 | |
Joseph P Wilkes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 306 Stoner Loop Ste 3, Lakeside, MT 59922 Phone: 406-844-0744 Fax: 406-844-0759 | |
Margaret Ann Coutts, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Stoner Loop, Suite 3, Lakeside, MT 59922 Phone: 406-844-0744 Fax: 406-844-0759 |