Loretta Marie Botel, M.S., LPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1028322 Issued in TX

Practice address

320 Custer Rd
Richardson, TX 75080-5623

Phone

(972) 490-9055

Fax

(972) 490-9058

NPI assigned

Jan 24, 2007

Last updated

Dec 12, 2007By the provider in NPPES

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 names 1

• Lori Marie Botel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• The Warren Center, Inc

  • Multi-Specialty Clinic/Center
  • Richardson, TX
  • NPI 1538214200

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1447305966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTEL",
        "first_name": "LORETTA",
        "middle_name": "MARIE",
        "credential": "M.S., LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1028322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BOTEL",
            "middle_name": "MARIE",
            "credential": "M.S., LPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Boppana Primary Care Clinic, PLLC
• Sita M Boppana, M.D.
• Latoya Borda, APRN
• James Boren
• Whitney Daine Boren
• Brook Plumlee Botsch, OTR
• Fayne A Bouguyon
• Nithphaphone Tracy Bounsing, NP
• Bowen Counseling Solutions, PLLC (The Marriage Place)
• Kimberly Bowen, LPC

• Pediatric Physical Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.