Elizabeth Lauren Bottomly, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01810500 Issued in NJ

Practice address

1824 Larchmont PL
Mount Laurel, NJ 08054-5924

Phone

(856) 449-9040

NPI assigned

Jun 23, 2021

Sex

Female

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)

Enrolled

Practice roles

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.

• Recover Physical Therapy

  • Physical Therapy Clinic/Center
  • Yardley, PA
  • NPI 1407427370
  NPD
• Recover Physical Therapy and Wellness

  • Physical Therapist
  • Laurel Springs, NJ
  • NPI 1053200162
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1952970097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 LARCHMONT PL",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545924",
            "telephone_number": "856-449-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 LARCHMONT PL",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545924",
            "telephone_number": "856-449-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTOMLY",
        "first_name": "ELIZABETH",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01810500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Bloom
• Colleen Bodek, LPC
• Laura Bodrog, LCSW
• Beverly Lynn Bongiorno, FNP-BC
• Nicholas Borden
• Annette Marie Boulden, RD,MA
• Andrea Legath Bowers, MD
• Lester Bowie, M.D.
• Debra Boyd, RN
• Braden Partners LP

• Physical Therapist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.