Individual provider Active NPI

Joshua Lawton Bottorff, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1891811238
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9974 Issued in CO
Practice address
600 S 21St St Unit 130
Colorado Springs, CO 80904-3763
Phone
(719) 634-1110
Fax
(719) 634-1112
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 9974 CO Primary

Addresses

Primary practice location

600 S 21St St Unit 130
Colorado Springs, CO 80904-3763

Mailing address

2435 Research Pkwy
Suite 255
Colorado Springs, CO 80920-1070
Phone (719) 260-8400

Other practice location 1

2435 Research Pkwy
Suite 255
Colorado Springs, CO 80920-1070
Phone (719) 260-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000697 CO Practitioner - Physical Therapist in Private Practice 0648375972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Manual Physical Therapy, PCGroup PAC ID 4688711351, 8 clinicians
Rezac and Associates Physical Therapy PLLCGroup PAC ID 1850441247, 10 clinicians

Practice addresses (Care Compare)

600 S 21St St
Suite 130
Colorado Springs, CO 80904-3763
Phone (719) 634-1110

855 Citadel Dr E
Colorado Springs, CO 80909-5304
Phone (719) 465-1502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9974COMDPhysical Therapist
7880MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Rehabilitation P. C. CurrentSince May 11, 2022 Accepting new patients
Synergy Manual Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Synergy Manual Physical Therapy, PC Physical Therapist Current Accepting new patients
Synergy Manual Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients

Locations

104 Pro Rodeo Dr
Ste 110
Colorado Springs, CO 80919
Phone (719) 592-1788

2375 Telstar Dr
Ste 115
Colorado Springs, CO 80920
Phone (719) 282-2320

600 S 21st St
Unit 130
Colorado Springs, CO 80904
Phone (719) 634-1110

155 Printers Pkwy
Ste 125
Colorado Springs, CO 80910
Phone (719) 213-4911

Organizations & group practices 5

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1891811238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 RESEARCH PKWY",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201070",
            "telephone_number": "719-260-8400",
            "fax_number": "719-260-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST UNIT 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043763",
            "telephone_number": "719-634-1110",
            "fax_number": "719-634-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 Research Pkwy",
            "address_2": "Suite 255",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201070",
            "country_code": "US",
            "telephone_number": "719-260-8400",
            "fax_number": "719-260-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTORFF",
        "first_name": "JOSHUA",
        "middle_name": "LAWTON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.

Verify at the official NPI Registry.