Active NPI
Erin R Botelho, PT
- Physical Therapist
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02460
- Practice address
- 21 Division St
Pawtucket, RI 02860-5301 - Phone
- (401) 726-7100
- Fax
- (401) 722-9386
- NPI assigned
- Oct 13, 2006
- Last updated
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17214 | MA | |
| Physical Therapist | 225100000X | PT02460 | RI | Primary |
Addresses
Primary practice location
21 Division St
Pawtucket, RI 02860-5301
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1295 Fall River Ave
Seekonk, MA 02771-5931
Phone (508) 231-5944
21 Division St
Pawtucket, RI 02860-5301
Phone (401) 726-7100
320 Main St
Brockton, MA 02301-5340
Phone (508) 584-0800
650 Plymouth St
East Bridgewater, MA 02333-2054
Phone (508) 378-4035
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.9 of 100
- Quality
- 79.21
- Improvement activities
- 40
- Cost
- 74.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02460 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Sports Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Sports Physical Therapy , Inc | Physical Therapist | Current | Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740
320 Main St
Brockton, MA 02301
Phone (508) 583-2155
650 Plymouth St
East Bridgewtr, MA 02333
Phone (508) 378-4035
1295 Fall River Ave
Seekonk, MA 02771
Phone (508) 231-5944
21 Division St
Pawtucket, RI 02860
4 Richmond Sq
Ste 200
Providence, RI 02906
41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540
91 Main St
Ste 122
Warren, RI 02885
Phone (401) 289-2999
Organizations & group practices 4
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.
-
dba Physical Therapy Plus
- Physical Therapy Clinic/Center
- East Bridgewater, MA
- NPI 1689863912
Physical Therapist
-
dba Physical Therapy Plus
- Physical Therapist
- Woonsocket, RI
- NPI 1790730547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1740370535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ STE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117",
"telephone_number": "401-433-4172",
"fax_number": "401-433-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 DIVISION ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605301",
"telephone_number": "401-726-7100",
"fax_number": "401-722-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTELHO",
"first_name": "ERIN",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17214",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.