KYLE EDWARD OTTO (DPT) – Physical Therapist, NPI 1962267468

KYLE EDWARD OTTO (DPT) is a healthcare provider. based in Anacortes, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 300687 (CA). The NPI Number for KYLE EDWARD OTTO (DPT) is 1962267468

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE EDWARD OTTO (DPT)
NPI
1962267468
Phone
Not provided
Address
3001 R AVE UNIT 110
Enumeration Date
14 February 2024
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602790100
Graduation Year
2020 (6 years ago)
PAC ID
5698116663
Group Practice PAC ID
9739469651
Professional Enrollment ID
I20240508004145
Address ID
WA982772641OA3265020XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for KYLE EDWARD OTTO (DPT)

  • 3001 R AVE UNIT 110

    ANACORTES, WA 982214602

    Phone:

    Type: Mailing

  • 32650 STATE ROUTE 20 # E110

    OAK HARBOR, WA 982772641

    Phone: (360) 279-0100

    Fax: (360) 279-0111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240508004145IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98221)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739469651View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-WA

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Frequently asked questions

What NPI should I save for KYLE EDWARD OTTO (DPT)?
Save NPI 1962267468 if you need a stable reference for KYLE EDWARD OTTO (DPT).
Is KYLE EDWARD OTTO (DPT) active in the national directory?
KYLE EDWARD OTTO (DPT)'s public NPI profile is in an active state.
What does KYLE EDWARD OTTO (DPT) treat or focus on?
Patients typically see KYLE EDWARD OTTO (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does KYLE EDWARD OTTO (DPT) practice in Washington?
You will see Anacortes, Washington on file for KYLE EDWARD OTTO (DPT) alongside any extra practice locations.
What if Anacortes, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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