Mary Eliza Bottorff, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009022345 Issued in MO

Practice address

411 E Broadway
Columbia
Columbia, MO 65201-4437

Phone

(573) 886-7411

Fax

(573) 443-7246

NPI assigned

Aug 6, 2009

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

Other identifiers 1

Other names 1

• Mary Winkelmeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.bottorff.p2@direct.athleticoltd.nextgenshare.com

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.

• Rick Rother, P.T., P.C.

  • Physical Therapist
  • Columbia, MO
  • NPI 1306029095
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1316178403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E BROADWAY",
            "address_2": "COLUMBIA",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014437",
            "telephone_number": "573-886-7411",
            "fax_number": "573-443-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E BROADWAY",
            "address_2": "COLUMBIA",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014437",
            "telephone_number": "573-886-7411",
            "fax_number": "573-443-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTORFF",
        "first_name": "MARY",
        "middle_name": "ELIZA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009022345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "145960001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WINKELMEYER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunitha Bosecker, PLPC
• Shawn Boss, DO
• Suzanne Marie Boss, LPC
• Brian Bostick, M.D.
• Blanca Cecilia Botero, PHARM.D.
• James Bryce Boudreau
• Sabine Dessieux Boudreau, FNP
• Miranda L Bourgeois, PT
• Lorie Ann Bousquet, LPC
• Curtiss Boutwell, PHARM D

• Physical Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.