Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Carl Otto, DPT

Individual provider Physical Therapist · NPI 1366805467

Jonathan Carl Otto, DPT is a Physical Therapist in Private Practice in Lakeside, Montana. Qualified in 2016, 10 years ago. Practices with William H and Carrie Gottsche Foundation, a 72-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
10
Licensed in
MT
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

306 Stoner Loop Ste 3
Lakeside, MT 59922-8600
Phone: (406) 844-0744
Fax: (406) 844-0759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11007 (MT)

Record details

NPI number1366805467
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address148 E Arapahoe St, Thermopolis, WY 82443-2402

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice William H And Carrie Gottsche Foundation — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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