Janna Marion Ott, DPT

Individual provider Active NPI Physical Therapist · Carnation, WA

NPI 1487932646 · NPPES record last updated Aug 31, 2021

Key facts

NPI
1487932646
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT60219066 (WA)
Practice address
36309 NE 91St Way
Carnation, WA 98014-6875
Phone
(425) 654-1425
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Carnation, WA 98014
Phone (425) 654-1425

36309 NE 91St Way
Carnation, WA 98014-6875

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120411000662 WA Practitioner - Physical Therapist in Private Practice 9931360336 Practice locations: Carnation, WA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Tolt Travel Therapy Current
since Sep 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60219066 WA Yes

Addresses

Primary practice location

36309 NE 91St Way
Carnation, WA 98014-6875

Mailing address

36309 NE 91St Way
Carnation, WA 98014-6875
Phone (425) 654-1425

Other names

  • Janna M Willmaser Former name

Other providers in Carnation, WA

All providers in Carnation, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.