JUSTIN ANDREW OTT (NPI# 1568083152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568083152 |
| Entity Type | Individual |
| Full Name | JUSTIN ANDREW OTT |
| Practice Address |
146 Recreation Bldg University Park PA 16802-5700 |
| Practice Telephone | 8148655284 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
301248 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247320 | Justin E Ott | Physical Therapist | 5605 100th St Sw Ste B, Lakewood, WA 98499-2710 | 2017-07-10 |
| Street Address |
146 RECREATION BLDG |
| City | UNIVERSITY PARK |
| State | PA |
| Zip Code | 16802-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548546948 | Lauren Caryl Kramer | Specialist/Technologist | 146 Recreation Bldg, University Park, PA 16802-5700 | 2011-10-30 |
| 1437779865 | Keira Wittle | Specialist/Technologist | 146 Recreation Bldg, University Park, PA 16802-5700 | 2020-04-27 |
| 1215433024 | Julianna Kaye Deluca | Student in an Organized Health Care Education/Training Program | 146 Recreation Bldg, University Park, PA 16802-5700 | 2018-04-02 |
| 1093210064 | Jillian Lee Ambrose | Specialist/Technologist | 146 Recreation Bldg, University Park, PA 16802-5700 | 2018-03-29 |
| 1922503911 | Brianne Elizabeth Sturgeon | Specialist/Technologist | 146 Recreation Bldg, University Park, PA 16802-5700 | 2018-03-29 |
| 1770088726 | Nicole Chadwick | Specialist/Technologist | 146 Recreation Bldg, University Park, PA 16802-5700 | 2018-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1063034569 | Benjamin Reese | Specialist/Technologist | 201 Curtin Rd, University Park, PA 16802 | 2020-05-07 |
| 1740801240 | Selah Nicole Whisenant | Specialist/Technologist | Burrowes Rd, University Park, PA 16802 | 2020-05-06 |
| 1659992774 | Shane Jeffrey Angle | Specialist/Technologist | Rec Hall, Burrowes Road, University Park, PA 16802 | 2020-04-29 |
| 1497383962 | Valerie Ann Fulton | Registered Nurse | Penn State University University Health Services, Student Health Center, University Park, PA 16802 | 2020-03-31 |
| 1871155929 | Monica Rosensteel | Licensed Practical Nurse | 1 Eisenhower Dr, University Park, PA 16802 | 2019-06-28 |
| 1609430636 | Adriana Sladich | Specialist/Technologist | 201 Curtain Rd, University Parks, PA 16802 | 2019-04-25 |
| 1073177168 | Sara Bowman | Licensed Practical Nurse | 1 Eisenhower Road, University Park, PA 16802 | 2019-04-24 |
| 1538632468 | Amy Dyanna Marshall | Psychologist | 140 Moore Building, Department of Psychology, University Park, PA 16802 | 2019-01-03 |
| 1083192496 | Raymond J Champagne II | Specialist/Technologist | Penn State Sports Medicine, 109 Lasch Building, University Park, PA 16802 | 2018-07-30 |
| Find all providers in zip 16802 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034569 | Benjamin Reese | Specialist/Technologist | 201 Curtin Rd, University Park, PA 16802 | 2020-05-07 |
| 1740801240 | Selah Nicole Whisenant | Specialist/Technologist | Burrowes Rd, University Park, PA 16802 | 2020-05-06 |
| 1659992774 | Shane Jeffrey Angle | Specialist/Technologist | Rec Hall, Burrowes Road, University Park, PA 16802 | 2020-04-29 |
| 1265052740 | Max Anglea Zawel | Specialist/Technologist | 140 Recreation Bldg, University Park, PA 16802-5700 | 2020-04-24 |
| 1083192496 | Raymond J Champagne II | Specialist/Technologist | Penn State Sports Medicine, 109 Lasch Building, University Park, PA 16802 | 2018-07-30 |
| 1962908780 | Mikaela Ann Poorman | Specialist/Technologist | Rec Hall, Burrowes Rd, University Park, PA 16802 | 2018-04-02 |
| 1992208797 | Luciano Domenico Alonzi | Specialist/Technologist | 276 Recreation Bldg Bldg, University Park, PA 16802-5701 | 2018-03-17 |
| 1568975241 | Rebecca Barta | Specialist/Technologist | 102 East Area Locker Room Building, University Park, PA 16802 | 2017-11-16 |
| 1588190300 | Sarah Hurdish | Specialist/Technologist | 276 Recreating Building, State College Pa, University Park, PA 16802 | 2017-05-11 |
| 1922530005 | Scott Wood | Specialist/Technologist | 4414 E West Hwy, University Park, MD 20782-2129 | 2017-03-29 |
| Find all providers in UNIVERSITY PARK | ||||
| City | UNIVERSITY PARK |
| Zip Code | 16802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.