Jackie Chad Bottoms, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA7594 Issued in AL

Practice address

500 John Aldridge Dr
Tuscumbia, AL 35674-3000

Phone

(256) 383-4541

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1811371024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 WOODMONT DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356746109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN ALDRIDGE DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356743000",
            "telephone_number": "256-383-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTOMS",
        "first_name": "JACKIE",
        "middle_name": "CHAD",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA7594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine C Basco, PT
• Carol Bishop
• Stacy Bishop
• Dustin Lee Blackman, BCTMB, NCP, LMT
• Mia Bostick, RBT
• Anna Brooke Box, CRNP
• Thomas Armstead Branscome, DMD
• Reeda Newton Brewer, CRNP
• Kristi Brown, PTA
• Brittany Anne Burgess, D.M.D.

• Physical Therapy Assistant in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.