Matthew Ottulich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14.009221 Issued in CT

Practice address

175 Jefferson St
Fairfield, CT 06825-1078

Phone

(203) 365-6443

NPI assigned

Dec 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Rehabilitation & Sports Therapy a California Physical Ther

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment NPD
• Hands on Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Rancho Santa Margarita, CA
  • NPI 1811037773
  Medicare reassignment NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1235180886

  Physical Therapist

  NPD

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1598034365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JEFFERSON ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251078",
            "telephone_number": "203-365-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JEFFERSON ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251078",
            "telephone_number": "203-365-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTULICH",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.009221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Specialty Group, P.C.
• Brianna Iraida Ortiz, APRN
• Allison Cotter Osipow, MSOT, OTR/L
• Brendan Osler
• Colleen Marie Osorio Hernandez
• Maureen Oumano, APRN
• Owen Schneider MD LLC
• Joseph N Owen, DMD
• Pablo J Cuevas III, DDS, PC
• Hanna Packnick, RN/NP

• Physical Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.