Individual provider Active NPI

Jeffrey M Botelho, PT

  • Physical Therapist
  • New Bedford, MA
National Provider Identifier
1942249651
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8384 Issued in MA
Practice address
988 Kempton St
New Bedford, MA 02740-1524
Phone
(508) 991-4494
Fax
(508) 993-4150
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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 8384 MA Primary

Addresses

Primary practice location

988 Kempton St
New Bedford, MA 02740-1524

Mailing address

988 Kempton St
New Bedford, MA 02740-1524
Phone (508) 991-4494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000170 MA Practitioner - Physical Therapist in Private Practice 0941266720 Reassigns benefits to 3 organizations
Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1738 Grand Army Hwy
Swansea, MA 02777-3906
Phone (508) 379-0090

944 Kempton St
New Bedford, MA 02740-1524

988 Kempton St
New Bedford, MA 02740-1524

994 Kempton St
New Bedford, MA 02740-1524
Phone (508) 993-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8384MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center, Inc Physical Therapist CurrentSince Aug 1, 2016 Accepting new patients
Mount Hope Physical Therapy Physical Therapist CurrentSince Nov 3, 2006 Accepting new patients

Locations

657 Pleasant St
Fall River, MA 02721
Phone (508) 677-2188

988 Kempton St
New Bedford, MA 02740
Phone (508) 991-4494

994 Kempton St
New Bedford, MA 02740
Phone (508) 991-4494

1738 Grand Army Hwy
Swansea, MA 02777
Phone (508) 375-3844

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1942249651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 KEMPTON ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401524",
            "telephone_number": "508-991-4494",
            "fax_number": "508-993-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 KEMPTON ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401524",
            "telephone_number": "508-991-4494",
            "fax_number": "508-993-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.