Active NPIIndividual providerSole proprietor

Dr. Moheb S Botroth, DPT

Physical Therapist in Summit, New Jersey

NPI Number1821418054
Practice location
71 Baltusrol RD, Summit, NJ 07901-3306
Fax
—
Last updated
March 17, 2020

Moheb S Botroth is a Physical Therapist based in Summit, NJ. Moheb S Botroth practices in Summit, NJ and has the professional credentials of DPT. The NPI Number for Moheb S Botroth is 1821418054 and holds a License No. 40QA01471900 (NJ). The current practice location address for Moheb S Botroth is 71 Baltusrol RD, Summit, NJ 07901-3306 and can be reached out via phone at 347-459-6778.

Provider Profile Details

NPI Number
1821418054
Provider Name
Moheb S Botroth
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
71 Baltusrol RD, Summit, NJ 07901-3306
Phone Number
347-459-6778
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 28, 2014
Last Update Date
March 17, 2020
Certification Date
March 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Baltusrol RD
Summit, NJ 07901-3306
City
Summit
Zip
07901-3306
Phone Number
347-459-6778
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
71 Baltusrol RD
Summit, NJ 07901-3306
City
Summit
State
NJ
Zip
07901-3306
Phone Number
347-459-6778

License Information

License Number
40QA01471900
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Moheb S Botroth, DPT?

The NPI number of Dr. Moheb S Botroth, DPT is 1821418054. It was assigned on April 28, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Moheb S Botroth, DPT?

Dr. Moheb S Botroth, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01471900.

Where does Dr. Moheb S Botroth, DPT practice?

The practice location is 71 Baltusrol RD, Summit, NJ 07901-3306. The office can be reached at 347-459-6778 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821418054 directly on the NPPES registry website.

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