John Bott, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5380 Issued in HI

Practice address

40 Kupaoa St # B-201
Makawao, HI 96768-6215

Phone

(808) 872-0077

NPI assigned

Aug 12, 2016

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Physical Therapy and Sportsmedicine, IncGroup PAC ID 5799788808, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Physical Therapy & Sportsmedicine, Inc

  dba Imua Physical Therapy

  • Physical Therapy Clinic/Center
  • Kihei, HI
  • NPI 1760435218
  Medicare reassignment Care Compare group NPD
• South Shore Physical Therapy & Sportsmedicine, Inc

  • Physical Therapist
  • Kahului, HI
  • NPI 1396601647
  NPD
• Center for Orthopedic Research and Education, LLC

  dba The CORE Institute

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427095801

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1144774605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KUPAOA ST # B-201",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967686215",
            "telephone_number": "808-244-0077",
            "fax_number": "808-244-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 KUPAOA ST # B-201",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967686215",
            "telephone_number": "808-872-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "JOHN",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Christine Bexton, D.M.D.
• Deniz A Bicakci, PHARMD
• Brennan Bishop-Purkey
• Bodhi Wellness and Psychotherapy LLC
• Joanna Borreta
• Catherine Louise Brandon, D.AC.
• Karen Solomon Brewer, LCSW
• Ellen Wolfe Brewerton, LCSW
• Bridge Medicine LLC
• Jordan L Brown

• Physical Therapist in Makawao, HI
• Providers in Makawao, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.