Carl Gabriel Botero, PT, DPT
NPI 1205564473ActiveIndividual· Physical Therapist· Mount Pleasant, SC
Physical Therapist (PT, DPT) with Elite Healthcare Physical Medicine LLC, practicing in Mount Pleasant, South Carolina. Medicare paid $60,902 for services to 71 patients in 2024.
Overview
| NPI | 1205564473 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Aug 15, 2022 |
| Last updated in NPPES | Aug 15, 2022 |
| Certified by provider | Aug 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11481 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 3,474 across 13 procedure codes |
| Paid by Medicare | $60,902 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Elite Healthcare Physical Medicine LLCMount Pleasant, SC · 6 clinicians
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All 131 physical therapists in Mount Pleasant · All physical therapists in South Carolina