Carl Gabriel Botero, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11481 Issued in SC

Practice address

1300 Hospital Dr Ste 220
Mount Pleasant, SC 29464-3208

Phone

(843) 936-6238

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By 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 SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Healthcare Physical Medicine LLCGroup PAC ID 3577853449, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elite Healthcare Physical Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Mount Pleasant, SC
  • NPI 1245697424
  Medicare reassignment Care Compare group NPD
• Imagine Physical Therapy in West Ashley, LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
  • NPI 1588977862

  Physical Therapist

  Medicare reassignment NPD
• Imagine Physical Therapy LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1245241041
  Medicare reassignment NPD
• Imagine Physical Therapy North Rhett LLC

  dba Imagine Physical Therapy

  • Physical Therapy Clinic/Center
  • North Charleston, SC
  • NPI 1033518766

  Physical Therapist

  Medicare reassignment NPD
• Imagine Physical Therapy Old Village LLC

  • Physical Therapy Clinic/Center
  • Mount Pleasant, SC
  • NPI 1477937662

  Physical Therapist

  Medicare reassignment NPD
• Imagine Physical Therapy on Daniel Island LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
  • NPI 1972770733

  Physical Therapist

  Medicare reassignment NPD
• Love of Language

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1184163842
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1205564473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 CARRIAGE LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643003",
            "telephone_number": "843-609-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 220",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643208",
            "telephone_number": "843-936-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "CARL",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ellen Boselowitz
• Isabel K Bosso, DPT
• Eddie T Bostic
• Dianna Lynne Boston, BCABA
• Tina M Botelho, MD
• Amy Botos
• Gregory William Bottone, D.M.D.
• Allycyn Boudreau, MOT, OTR/L
• Dawn Bouknight
• Morgan Easton Bowden, OTR/L

• Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.