IndividualActive
Jennifer Otanicar, DPT
NPI 1215919253 · Physical Therapist · Marina Del Rey, CA
Provider details
- NPI number
- 1215919253
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT011042 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4820 Lincoln Blvd
Marina Del Rey, CA 90292-6917
Phone: (310) 822-0041
Fax: (310) 822-0049
Street-level locationGet directions
Mailing address
6510 W 86th Pl
Los Angeles, CA 90045-3709
Registry dates
- Enumerated
- 2005-11-16
- Last updated
- 2010-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.