Dawn Michelle Boutte, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4523 Issued in CO

Practice address

2360 Montebello Square Dr
Colorado Springs, CO 80918-6977

Phone

(719) 599-5330

NPI assigned

Aug 5, 2008

Sex

Female

Sole proprietor

No

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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Orthopaedic and Sports Medicine Center PAGroup PAC ID 7810983020, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelly.boutte.p1@direct.cosmc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Carolina Orthopaedic & Sports Medicine Center PA

  • Orthopaedic Surgery Physician
  • Gastonia, NC
  • NPI 1255380143
  Medicare reassignment Care Compare group NPD
• Sirona Therapy P.C.

  • Physical Therapy Clinic/Center
  • Edinboro, PA
  • NPI 1538799796
  NPD Authorized official
• Carolina Orthopaedic & Sports Medicine Center PA

  • Durable Medical Equipment & Medical Supplies
  • Belmont, NC
  • NPI 1306644521
  NPD

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1316103708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MONTEBELLO SQUARE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186977",
            "telephone_number": "719-599-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MONTEBELLO SQUARE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186977",
            "telephone_number": "719-599-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTTE",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Boulton, LPC
• Mark Boulware, M.D.
• Boundless Compassion LLC
• Alison Elizabeth Bounds, RBT
• Roxanne Bourassa
• Pamela Renee Bouvier, LMT
• Shealee Bouziden
• Chambray Jelena Bowen
• George S Bowen, MD
• Marci Bowen, RBT

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.