Provider Type Icon

MRS. JACQLYN FITZGERALD OTTOSEN P.T. NPI 1598087462


NPI Information

NPI: 1598087462
Provider Name: MRS. JACQLYN FITZGERALD OTTOSEN, P.T.
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-4980
Get Directions

MRS. Jacqlyn Fitzgerald Ottosen, P.T. is a pediatrics physical therapist in Salt Lake City, UT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. MRS. Jacqlyn Fitzgerald Ottosen, P.T. NPI is 1598087462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-4980

The enumeration date for this NPI number is 2/19/2010 and was last updated on 2/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics1208452401UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.