Individual provider Active NPI

Patricia Bott, PT

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1821087677
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2233 Issued in NM
Practice address
1704 Lena St Ste A1
Santa Fe, NM 87505-2002
Phone
(505) 982-5868
Fax
(505) 995-0500
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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 2233 NM Primary

Addresses

Primary practice location

1704 Lena St Ste A1
Santa Fe, NM 87505-2002

Mailing address

1704 Lena St Ste A1
Santa Fe, NM 87505-2002
Phone (505) 982-5868

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2233NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SF Sports MD & Rehab Physical Therapist PastSince Apr 16, 2018 Accepting new patients
SF Sports Med & Rehab Inc Physical Therapist PastSince Jun 14, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1821087677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LENA ST STE A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052002",
            "telephone_number": "505-982-5868",
            "fax_number": "505-995-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 LENA ST STE A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052002",
            "telephone_number": "505-982-5868",
            "fax_number": "505-995-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.