Individual provider Active NPI

Erin Campbell Bott, MSPT

  • Physical Therapist
National Provider Identifier
1356539985
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10505 Issued in NC
Practice address
48 MDG Unit5210
Box 230
Apo, AE 09461
GB
Phone
01638528561
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10505 NC Primary

Addresses

Primary practice location

48 MDG Unit5210
Box 230
Apo, AE 09461
GB

Mailing address

PSC 41
Box 941
Apo Ae, ENGLAND 09464
GB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003741 RI Practitioner - Physical Therapist in Private Practice 2567825904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

180 County Rd
Suite 9C
Barrington, RI 02806-4544
Phone (401) 352-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10505NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Carelink, Inc. Physical Therapist Current Accepting new patients

Locations

180 County Rd
Ste 9C
Barrington, RI 02806
Phone (401) 352-4444

400 Massasoit Ave
Ste 300
East Providence, RI 02914
Phone (401) 434-2704

400 Massasoit Ave
Ste 300B
East Providence, RI 02914

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1356539985",
    "addresses": [
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 41",
            "address_2": "BOX 941",
            "city": "APO AE",
            "state": "ENGLAND",
            "postal_code": "09464"
        },
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "48 MDG UNIT5210",
            "address_2": "BOX 230",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "01638528561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "ERIN",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.