Jacob Ottati

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49016 Issued in CA

Practice address

2847 Alice St
Whitehall, MI 49461-9501

Phone

(231) 288-2063

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1437625472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 ALICE ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 ALICE ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619501",
            "telephone_number": "231-288-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTATI",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004879",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Monroy, D.D.S.
• Matthew Murphy
• Donald O Nordlund, RPH
• Nrmi, LLC (d/b/a NeuroRestorative Michigan)
• Optalis Whitehall Opco, LLC (Optalis Health & Rehabilitation of Whitehall)
• Mark Robert Parrish, BS, CCM, CBIS
• Patricia a Wood Employee Assistance Services LLC
• James Martin Petersen, BASW, CCM, CBIST
• Petsch Chiropractic Center PC
• Philip F. Petsch, D.C.

• Physical Therapy Assistant in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.