Andre Botha, RPT, DIPMDT
NPI 1396789921ActiveIndividual· Physical Therapist· Durango, CO
Physical Therapist (RPT, DIPMDT) in Durango, Colorado, licensed in CO, with an NPI issued in June 2006. Medicare paid $158,255 for services to 192 patients in 2024.
Overview
| NPI | 1396789921 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPT, DIPMDT |
| Sole proprietor | No |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Nov 23, 2020 |
| Certified by provider | Nov 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4877 | CO |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 192 |
|---|---|
| Services billed | 8,585 across 13 procedure codes |
| Paid by Medicare | $158,255 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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