Active NPI
Jessica Lea Ott, PTA
- Physical Therapy Assistant
- Longmont, CO
National Provider Identifier
1801224357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 13212
- Practice address
- 1067 S Hover St Ste E
PMB 187
Longmont, CO 80501-7903 - Phone
- (828) 275-7114
- NPI assigned
- Oct 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 13212 | CO | Primary |
| Physical Therapy Assistant | 225200000X | A5092 | NC |
Addresses
Primary practice location
1067 S Hover St Ste E
PMB 187
Longmont, CO 80501-7903
Mailing address
1067 S Hover St Ste E
PMB 187
Longmont, CO 80501-7903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13212 | CO | MD | Physical Therapy Assistant |
| A5092 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1801224357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 S HOVER ST STE E",
"address_2": "PMB 187",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 S HOVER ST STE E",
"address_2": "PMB 187",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017903",
"telephone_number": "828-275-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "JESSICA",
"middle_name": "LEA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-21",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "13212",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A5092",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.