Active NPI
Darin Lee Bottger
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1740057009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4007
- Practice address
- 4900 N 26TH St Ste 104
Lincoln, NE 68521-4746 - Phone
- (402) 465-0010
- NPI assigned
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4007 | NE | Primary |
Addresses
Primary practice location
4900 N 26TH St Ste 104
Lincoln, NE 68521-4746
Mailing address
3700 W Rose St
Lincoln, NE 68522-9250
Phone (308) 760-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4007 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Health Centers of Washington, P.S. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Medicine Clinic/Center
- Puyallup, WA
- NPI 1992288617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1740057009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 W ROSE ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685229250",
"telephone_number": "308-760-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 N 26TH ST STE 104",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214746",
"telephone_number": "402-465-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTGER",
"first_name": "DARIN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.