Samuel Otto, - Physical Therapist in Verona, WI

Samuel Otto, is a Physical Therapist based in Verona, Wisconsin. Samuel Otto is licensed to practice in Wisconsin (license number 15776-24) and his current practice location is 1049 N Edge Trl, Verona, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 845-2100.

NPI number for Samuel Otto is 1063143634 and his current mailing address is 1049 N Edge Trl, Verona, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063143634.

Contact Information

Samuel Otto,
1049 N Edge Trl,
Verona, WI 53593-1942
(608) 845-2100
(608) 845-2101

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Otto
GenderMale
SpecialityPhysical Therapist
Location1049 N Edge Trl, Verona, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063143634
  • Provider Enumeration Date: 06/23/2022
  • Last Update Date: 06/23/2022

Medical Identifiers

Medical identifiers for Samuel Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063143634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 15776-24 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Otto is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Otto,
1049 N Edge Trl,
Verona, WI 53593-1942

Ph: (608) 845-2100
Samuel Otto,
1049 N Edge Trl,
Verona, WI 53593-1942

Ph: (608) 845-2100

Reviews and Comments


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Phone: 608-845-2100    
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Medicare: Not Enrolled in Medicare
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Phone: 608-848-6628    Fax: 608-848-6629

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.