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

Samuel Otto

Individual provider Physical Therapist · NPI 1063143634

Samuel Otto is a Physical Therapist in Verona, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

1049 N Edge Trl
Verona, WI 53593-1942
Phone: (608) 845-2100
Fax: (608) 845-2101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15776-24 (WI)

Record details

NPI number1063143634
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address1049 N Edge Trl, Verona, WI 53593-1942

Other providers in Verona